Silicone Arthroplasty After Ankylosis of Proximal Interphalangeal Joints in Rheumatoid Arthritis: A Case Report.
Rheumatoid arthritis (RA) can cause severe disability of the hand and fingers. Ankylosis of the finger joints is a known yet underreported manifestation of RA of the hand. We report the case of a patient who had RA and developed autofusion of the proximal interphalangeal (PIP) joints. At presentation, the PIP joints were fused in 15° of flexion. Silicone PIP arthroplasty was performed. Function improved with 60° of PIP joint motion and no pain.
Hand and Upper Extremity Center, Department of Orthopaedics, Wexner Medical Center, Ohio State University, Columbus, OH. hisham.awan@osumc.edu.
Hisham M
HM
Awan
Joseph E
JE
Imbriglia
D000844:Ankylosis / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D001172:Arthritis, Rheumatoid / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D050806:Arthroplasty, Replacement, Finger / Q000379:methods*; D005260:Female; D005384:Finger Joint / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007595:Joint Prosthesis; D008875:Middle Aged; D010147:Pain Measurement; D016059:Range of Motion, Articular / Q000502:physiology; D012828:Silicones; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D012828:Silicones