Tendon ruptures in the rheumatoid hand: Analysis of treatment and functional results in 60 patients

Moore, J. Russell; Weiland, Andrew J.; Valdata, Lauren

doi:10.1016/s0363-5023(87)80151-x

Cited by 83 publications

(50 citation statements)

References 8 publications

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“…[1][2][3][4][5] Investigators have identifi ed several factors related to tendon rupture, which are dorsal subluxation of the DRUJ, the scallop sign, and persistent swelling of the extensor tendon synovial sheaths despite aggressive treatment with anti-rheumatic drugs.…”

Section: Introductionmentioning

confidence: 99%

Diagnosis of distal radioulnar joint subluxation in patients with rheumatoid wrist by computed tomography

et al. 2007

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Subluxation of the distal radioulnar joint (DRUJ) is associated with extensor tendon rupture in patients with rheumatoid arthritis (RA). However, it remains difficult to quantitatively evaluate DRUJ subluxation in RA wrist. We devised a new method for assessing DRUJ subluxation. This study investigated whether the new method, known as the RA subluxation ratio (RASR), or a conventional method was superior for detecting extensor tendon rupture in the RA wrist. Thirty-five RA wrists and 10 wrists of healthy volunteers were scanned using computed tomography. The RA wrists were divided into a tendon rupture group and a nonrupture group. The dorsal surface of the distal radius from Lister's tubercle to the ulnar aspect of the distal radius maintains a planar surface in the RA wrist. Therefore, we defined the RASR as the extent of dorsal subluxation of the ulna relative to this plane. We quantified subluxation of the DRUJ by using the RASR or the modified radioulnar line method, and compared the two methods. The RASR was 0.440 in the rupture group, 0.333 in the nonrupture group, and 0.106 in the healthy volunteers. The RASR was significantly higher than the modified radioulnar line method in the sensitivity of diagnosing tendon rupture.

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Section: Introductionmentioning

confidence: 99%

Diagnosis of distal radioulnar joint subluxation in patients with rheumatoid wrist by computed tomography

et al. 2007

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“…It causes immediate dysfunction of the hand and surgical reconstruction is usually required [ 11 ]. [ 12 ].…”

Section: Wrist Deformity and Extensor Tendon Rupturementioning

confidence: 99%

Total Wrist Fusion and Limited Wrist Fusion Procedures in Rheumatoid Arthritis

Ishikawa

2016

Clinical Management of the Rheumatoid Hand, Wrist, and Elbow

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“…Tendon ruptures commonly occur in the extensor of the hand and wrist [20,47], flexor tendon ruptures being Fig. 6a, b A 56-year-old man with rupture of Baker's cyst.…”

Section: Tendon Rupturesmentioning

confidence: 99%

MR imaging assessment of clinical problems in rheumatoid arthritis

Narváez

Roca

et al. 2002

Eur Radiol

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Although MR imaging has been increasingly recognized as a useful tool in the diagnosis of early rheumatoid arthritis (RA) and in the assessment of disease activity, these applications have not yet been usually included in the routine management of this condition. Our goal is to review the current role of MRI in the everyday clinical management of patients with RA. The usefulness of MRI in the evaluation of articular and para-articular changes in specific locations, mainly the craniocervical region and the temporomandibular joint, are reviewed. Clinical problems derived from local extra-articular involvement, such as tenosynovitis, "rice-bodies" bursitis, and Baker's cyst rupture, are also described. Finally, we also review the value of MRI in evaluation of some complications of RA such as tendinous rupture, osteonecrosis, stress fracture, and septic arthritis/osteomyelitis.

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Tendon ruptures in the rheumatoid hand: Analysis of treatment and functional results in 60 patients

Cited by 83 publications

References 8 publications

Diagnosis of distal radioulnar joint subluxation in patients with rheumatoid wrist by computed tomography

Diagnosis of distal radioulnar joint subluxation in patients with rheumatoid wrist by computed tomography

Total Wrist Fusion and Limited Wrist Fusion Procedures in Rheumatoid Arthritis

MR imaging assessment of clinical problems in rheumatoid arthritis

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