20 years of rheumatoid hand surgery: what did I learn?

Abstract

Rheumatoid arthritis is one common form of inflammatory arthritis that affects about 1% of the population. Few conditions in hand surgery have undergone such fundamental changes within the last two decades as rheumatoid arthritis has with regard to clinical presentations and treatments. This article provides a personal practice-guided review of the author's decision making and treatment for patients with rheumatoid arthritis in the past two decades.

Outcomes of Surgical Treatment of Vaughan-Jackson Syndrome

“…2,6 External mechanical irritation of chronically inflamed tendons eventually leads to rupture, and given the diseased nature of the ruptured tendons, direct repair is usually not possible. 7 As a result, surgical strategy may require tendon transfers to restore function as well as treatment of the underlying DRUJ pathology. 1 The relative rarity of VJS has resulted in limited published literature reporting the outcomes of The primary aim of this study was to report patient-reported functional outcome measures (PROMs) after Darrach's procedure and tendon transfer for VJS.…”

“…2 6 External mechanical irritation of chronically inflamed tendons eventually leads to rupture, and given the diseased nature of the ruptured tendons, direct repair is usually not possible. 7 As a result, surgical strategy may require tendon transfers to restore function as well as treatment of the underlying DRUJ pathology. 1…”