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Rheumatoid Arthritis — Hand

Autoimmune symmetric polyarthritis causing synovitis and progressive joint destruction—typical deformities in the hand: ulnar drift at MCPs, swan‑neck and boutonnière deformities, and caput ulnae syndrome. Early goal‑directed medical therapy with DMARDs/biologics is cornerstone; hand surgery addresses pain, deformity, and function (synovectomy, tendon procedures, joint arthroplasty/arthrodesis). Radiographs show periarticular osteopenia, marginal erosions, and joint space loss; ultrasound/MRI detect early synovitis/tenosynovitis. Flexor tenosynovitis with triggering and extensor tendon ruptures (Vaughan‑Jackson) are common hand manifestations.

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Autoimmune symmetric polyarthritis causing synovitis and progressive joint destruction—typical deformities in the hand: ulnar drift at MCPs, swan‑neck and boutonnière deformities, and caput ulnae syndrome. Early goal‑directed medical therapy with DMARDs/biologics is cornerstone; hand surgery addresses pain, deformity, and function (synovectomy, tendon procedures, joint arthroplasty/arthrodesis). Radiographs show periarticular osteopenia, marginal erosions, and joint space loss; ultrasound/MRI detect early synovitis/tenosynovitis. Flexor tenosynovitis with triggering and extensor tendon ruptures (Vaughan‑Jackson) are common hand manifestations.
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Question 1

What is the most characteristic deformity of the hand in rheumatoid arthritis (RA)?

Question 2

Which serological marker is most specific for rheumatoid arthritis?

Question 3

What is the primary treatment modality that has dramatically changed the management of rheumatoid arthritis?

Question 4

In rheumatoid arthritis, what is the consequence of synovitis at the distal radioulnar joint (DRUJ)?

Question 5

Which surgical procedure is commonly indicated for managing the complications of Vaughan-Jackson syndrome?

Question 6

What is the primary pathological process that leads to joint destruction in rheumatoid arthritis?

Question 7

What is the significance of early intervention with DMARDs in rheumatoid arthritis?

Question 8

Which of the following deformities is characterized by hyperextension of the proximal interphalangeal joint and flexion of the distal interphalangeal joint?

Question 9

What is the role of ultrasound in the management of rheumatoid arthritis?

Question 10

What is the fundamental principle of surgical intervention in rheumatoid arthritis of the hand?