title: [Orthopedic rheumatology].
abstract: Rheumatic diseases with their progressive inflammatory systematic nature are important diseases any clinical practising orthopaedic doctor is frequently confronted with. In case of mono- or polyarticular joint swelling, stiffness or inflammatory arthralgia, rheumatoid arthritis has to be deliberated particularly in differential diagnostic considerations. When diagnosed early, a joint treatment by an internal specialist as well as the initiation of a basic medicamentous therapy are highly recommended. Therefore, corticosteroids and disease modifying anti-rheumatic drugs (DMARDs) such as methotrexate can be used, in case of failure a treatment with biologicals should follow. The operative therapy depends on the stadium of joint destruction. In early stadiums (LDE 0-3) and in case of therapy resistant inflammation a synovectomy should be performed as a preventive intervention. Given an already advanced destruction, alloarthroplasty or arthrodesis are indicated as reconstructive procedures.
authors: Klinik für Orthopädie und Unfallchirurgie, Agaplesion-Markus-Krankenhaus, Frankfurt/Main.
authors: M
authors: M
authors: Holder
authors: M
authors: M
authors: Henniger
authors: S
authors: S
authors: Rehart
mesh_terms: D018501:Antirheumatic Agents / Q000627:therapeutic use*; D001178:Arthroplasty / Q000379:methods*; D003131:Combined Modality Therapy; D006801:Humans; D009985:Orthopedics / Q000379:methods*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012216:Rheumatic Diseases / Q000175:diagnosis* / Q000628:therapy*; D012219:Rheumatology / Q000379:methods*
chemical_list: D018501:Antirheumatic Agents