1/27. Extensor digiti minimi tendon "rerouting" transfer in permanent abduction of the little finger.Permanent abduction of the little finger is a bothersome deformity which usually occurs in the context of sequelae of ulnar nerve palsy (Wartenberg's sign), but also in rheumatoid arthritis. The authors report an original technique for correction of this deformity. The extensor digiti minimi tendon is sectioned at its distal insertion and transferred in the wrist through the extensor retinaculum. The "rerouted" tendon is finally resutured distally on the radial aspect of the interosseous muscle. Side-to-side suture of the transferred tendon to the extensor digitorum tendon of the little finger further reinforces the solidity of the procedure. The distal insertion of the extensor digiti minimi tendon is consequently radialized. Its new direction eliminates the abduction component, and the tendon then behaves as an active adductor of the little finger. Five cases (2 cases of ulnar nerve palsy, 3 cases of rheumatoid arthritis) are reported with a mean follow-up of 19 months. All patients have complete active adduction of the little finger in extension, with a persistent capacity for abduction. The other correction techniques published in the literature are discussed.- - - - - - - - - - ranking = 1keywords = arthritis (Clic here for more details about this article) |
2/27. Surgical management of tophaceous gout in the hand.A patient who suffered from severe deforming arthritis secondary to chronic tophaceous gout with multilobular, solid, tender, enlarged subcutaneous nodules and draining tophi in both hands was evaluated and treated by second ray amputation of the most deformed second finger to provide a more functional result.- - - - - - - - - - ranking = 0.5keywords = arthritis (Clic here for more details about this article) |
3/27. Development rate of mutilans fingers in patients with rheumatic disease.OBJECTIVE: To describe arthritis mutilans (AM) deformity during the progression of rheumatic disease. methods: The development of mutilans-like hand deformities in 2 patients with juvenile chronic arthritis (JCA) and in 2 patients with adult onset rheumatoid arthritis (RA) are presented. The hands of these patients were evaluated at least at two time points during the course of disease using two different scoring methods based on differently summed Larsen grades of the hand joints. RESULTS: Two patients (one with JCA and one with RA) showed AM changes after a disease period of less than 10 years and 2 not until after 30 years. The patients with adult onset disease were young at the onset of joint disease. Early wrist fusions were performed on both patients showing a slow development rate. CONCLUSIONS: The development rate of AM is very variable, even in patients with the same diagnoses. wrist fusion prevents shortening of the carpus and may decrease the development rate of AM.- - - - - - - - - - ranking = 1.5keywords = arthritis (Clic here for more details about this article) |
4/27. Arthritis and osteonecrosis in a patient with thrombophilia.This case report describes a very rare entity of thrombophilia manifesting as persistent arthritis and digital ulcers. A 9-year-old Egyptian girl presented with a 2-year history of persistent arthritis and digital ulcers. The case was followed up after 4 years. The clinical manifestations and laboratory investigations are recorded. thrombophilia with partial protein c deficiency appeared to be responsible for the clinical manifestations with underlying ipsilateral osteonecrosis of patella and calcaneum and resorption of the terminal phalanges. Her older sister showed the same picture with additional pulmonary hypertension. In conclusion, arthritis and osteonecrosis appear as a rare presentation of thrombophilia and protein c deficiency, and ignorance of this may lead to misdiagnosis or confusion with other childhood rheumatic diseases.- - - - - - - - - - ranking = 1.5keywords = arthritis (Clic here for more details about this article) |
5/27. Proximal interphalangeal joint surface replacement arthroplasty.A consecutive series of 20 joints in 13 patients underwent arthroplasty with the RMS PIP joint surface replacement implant. Twelve joints were treated for painful osteoarthritis (all females). Two joints were implanted for rheumatoid arthritis, two for post-traumatic pain and stiffness, two for post-traumatic stiffness and one each for post-traumatic pain and pain-free post-traumatic instability. Excellent, often total long-term pain relief was obtained in 18 joints. The other two patients with (compensible work-related) post-traumatic pain and stiffness reported "50-70% pain reduction". No patients lost movement and 14 out of 20 joints were pain-free with a 73.1 degrees average arc of motion. Six joints from the first half of the series had poor motion (average arc of 19.6 degrees ), even after open extensor tenolysis or manipulation under anaesthesia. As experience was gained, reliably better results were achieved with a more intensive regimen of hand therapy, particularly within the first post-operative week.- - - - - - - - - - ranking = 1keywords = arthritis (Clic here for more details about this article) |
6/27. Uncommon arthropathies seen at the University teaching Hospital-a presentation of two cases.Two cases of arthritis are presented the first being a case of rheumatoid arthritis and the second a case of hypertrophic osteoarthropathy secondary to pulmonary disease. Similar conditions have probably been seen in zambia previously but none have been recorded, as far as we are aware.- - - - - - - - - - ranking = 1keywords = arthritis (Clic here for more details about this article) |
7/27. Deforming arthritis of the hands in polymyositis.Arthritis of the hands with erosions, periosteal calcification, and interphalangeal thumb joint instability was seen in 6 patients with polymyositis. "Overlap" features such as Raynaud's phenomenon, positive LE clot test, and positive antinuclear antibody test were present, but clinically the primary disease was clearly polymyositis. This rather unusual constellation of roentgenographic findings strongly suggests the possibility of polymyositis.- - - - - - - - - - ranking = 2keywords = arthritis (Clic here for more details about this article) |
8/27. mycobacterium marinum causing tenosynovitis. 'Fish tank finger'.mycobacterium marinum is an unusual atypical mycobacterium with low pathogenicity for humans in comparison with mycobacterium tuberculosis. Among the non-tuberculous mycobacterial pathogens, mycobacterium marinum is the most common pathogen to cause skin infections. mycobacterium marinum infection causes chronic cutaneous lesions and in some cases deeper infections such as tenosynovitis, septic arthritis and rarely osteomyelitis. We report the case of a male patient presenting with tenosynovitis of the distal upper extremity secondary to mycobacterium marinum infection.- - - - - - - - - - ranking = 0.5keywords = arthritis (Clic here for more details about this article) |
9/27. Hand deformity in Parkinson's disease: case report.Hand and foot deformities were originally described in Parkinson's disease (PD) in 1864, although their pathogenesis still remains to be clarified. Typical hand deformities are flexion in metacarpopharyngeal joints and hyperextension in interphalangial joints, sometimes accompanied by ulnar deviation. Unlike rheumatoid arthritis (RA), there is no swelling and stiffness in joints. In this report, a case that was previously misdiagnosed as RA due to deformities in the hand and whose PD was detected upon presentation to our clinic is presented, and the differential diagnosis of the disease is discussed.- - - - - - - - - - ranking = 0.5keywords = arthritis (Clic here for more details about this article) |
10/27. Jaccoud's arthritis.A 16 year old girl with multivalvular heart disease and recurrent episodes of polyarthritis with correctable deformities of hands and feet fitting into that of Jaccoud's arthritis is reported. The condition is rare and often difficult to differentiate from rheumatoid arthritis.- - - - - - - - - - ranking = 3.5keywords = arthritis (Clic here for more details about this article) |
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