Presentation
10 years history of joints stiffness and pain affecting hands and elbows.
Patient Data
Age: 60 years
Gender: Female
From the case:
Rheumatoid arthritis (hands and elbow affectation)
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There is a predominantly proximal erosive polyarthropathy with erosion seen in relation to the proximal ulnar to the distal ulnar, radius, carpal row, with further erosion seen in relation to the heads of the first to fifth metacarpals.
Case Discussion
Joint deformities can be appreciated in severe rheumatoid arthritis.
In the treatment of thumb metacarpophalangeal arthritis, arthrodesis is a popular and generally reliable surgical solution. In the fingers, arthroplasty remains the most common treatment option. This patient was planned for right index finger PIP arthrodesis and right ring finger PIP arthroplasty after unsuccessful medical management.
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