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Inflammatory Arthritis

Systemic & soft tissue disease, affecting the skeleton secondarily.

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Wrist Synovitis Ulnar Drift Tendon Ruptures Z Thumb, Swan Neck Nalebuff 3 Swan Neck Deformities Swan Neck Deformity Wrist Radial Deviation X-Ray of Rheumatoid Hand


Note - The deformities depend on the direction of pull on the tendons.

Get zig-zag deformity in the sagittal &/or coronal planes


1. Pain - due to synovitis or secondary OA

2. Loss of Function

Shortened ADL assesment:

  1. Using toothbrush, hairbrush, knife, fork
  2. Dressing - bra, pulling up trousers / stockings
  3. Operate remote control
  4. Hobbies

3. Cosmesis - may be extremely NB to patient. A poor functional result of surgery may not be a poor result for the patient if cosmesis improved.

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