Abstract
The deformities of the rhuematoid hand are produced by an inflammatory process which has its main expression in the synovial tissue. Dorsal tenosynovitis, tendon rupture, and deformity of the wrist may be satisfactorily managed by the surgical approach. Ulnar drift, swan neck, and boutonnière deformities are difficult to treat. There are several procedures available. However, there is no completely satisfactory answer at the present time. Stabilization of the thumb gives good results because its functional demand is that of a stable opposable post. Each hand must be individually evaluated so that a carefully planned approach may be formulated. The functional demand required of the hand will usually influence the treatment. It is not necessary to wait for the burned-out or arrested stage before definitive treatment is instituted. Early synovectomy is indicated before irreversible damage has been produced.
Published Version
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