Surgical treatment of wrist joint dysfunction in rheumatoid arthritis: A report of two cases

Kumagai, Kosuke, Takemura, Yoshinori, Okumura, Noriaki, Amano, Yasutaka, Yayama, Takafumi, Mimura, Tomohiro, Mori, Kanji, Barrett-Jolley, Richard ORCID: 0000-0003-0449-9972 and Imai, Shinji (2022) Surgical treatment of wrist joint dysfunction in rheumatoid arthritis: A report of two cases. MODERN RHEUMATOLOGY CASE REPORTS, 6 (2). pp. 163-166.

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Abstract

In rheumatoid arthritis (RA), it is important to actively treat wrist dysfunction to improve patient outcomes. Herein, we report two cases of wrist dysfunction in RA patients who required partial wrist fusion soon after drug initiation. Case 1: A 38-year-old woman was referred to our hospital because of left wrist joint pain. At the time of examination, swelling and tenderness of the left wrist joint were observed. After 6 months of medication, no improvement in symptoms was noted; therefore, partial wrist fusion was performed. Case 2: A 38-year-old woman was referred to our hospital because of right wrist joint pain. A plain X-ray image showed fusion of the carpal bones. Due to previous failure of drug treatment, the patient opted for arthrodesis. The postoperative course was good in both cases, and the pain improved. In these cases of monoarthritic RA, synovitis and bone destruction were observed, but blood tests showed no features of active disease, and drug treatment was ineffective. In such cases, early surgical treatment should be considered, rather than continuing conservative treatment, to ensure the best outcomes.

Item Type:	Article
Uncontrolled Keywords:	Arthrodesis, carpal bones, rheumatoid arthritis, synovitis, wrist joint
Divisions:	Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Life Courses and Medical Sciences
Depositing User:	Symplectic Admin
Date Deposited:	16 Mar 2023 08:25
Last Modified:	16 Mar 2023 08:25
DOI:	10.1093/mrcr/rxab044
Related URLs:	Author Publisher
URI:	https://livrepository.liverpool.ac.uk/id/eprint/3169120