5,559 results match your criteria Wrist Arthritis

Deep Learning-Based Computer-Aided Diagnosis of Rheumatoid Arthritis with Hand X-ray Images Conforming to Modified Total Sharp/van der Heijde Score.

Biomedicines 2022 Jun 8;10(6). Epub 2022 Jun 8.

Department of Information Management, National Taipei University of Nursing and Health Sciences, Taipei City 112, Taiwan.

Introduction: Rheumatoid arthritis (RA) is a systemic autoimmune disease; early diagnosis and treatment are crucial for its management. Currently, the modified total Sharp score (mTSS) is widely used as a scoring system for RA. The standard screening process for assessing mTSS is tedious and time-consuming. Read More

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Spontaneous Rupture of the Extensor Pollicis Longus Tendon in a Lacrosse Player.

Phys Sportsmed 2022 Jun 23. Epub 2022 Jun 23.

Louisiana State University Health Shreveport, Shreveport, LA.

Spontaneous rupture of the extensor pollicis longus (EPL) tendon at the wrist has been reported with predisposing factors to include distal radius fractures, rheumatoid arthritis, systemic or local steroids and repetitive abnormal motion of the wrist joint. We present a case of an 18-year-old college lacrosse player without history of known predisposing factors who presented with an acute inability to extend the interphalangeal (IP) joint of his right thumb. Preoperative musculoskeletal ultrasound demonstrated rupture of the EPL tendon proximal to the carpometacarpal (CMC) joint of the thumb. Read More

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Rapid Spontaneous Total Fusion of Neuropathic Arthropathy of the Wrist After Limited Intercarpal Arthrodesis: A Case Report and Brief Literature Review.

Front Surg 2022 30;9:771896. Epub 2022 May 30.

Department of Hand Surgery, China-Japan Union Hospital of Jilin University, Changchun, China.

Background: Previous reports on the treatment of neuropathic arthropathy of the wrist were generally conservative, with few case reports of treatment with osteoarticular surgery.

Case Presentation: A 25-year-old right-handed male complained of unpainful swelling of the dorsal aspect of his right wrist for 3 years. He was at that time diagnosed with synovitis and radiocarpal arthritis. Read More

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Non-invasive metabolic profiling of inflammation in joints and entheses by multispectral optoacoustic tomography.

Rheumatology (Oxford) 2022 Jun 14. Epub 2022 Jun 14.

Department of Internal Medicine 3, Friedrich-Alexander University (FAU) Erlangen-Nuremberg and Universitätsklinikum Erlangen, Ulmenweg 18, Erlangen, 91054, Germany.

Objective: To explore the metabolic characteristics of arthritis and enthesitis using multispectral opto-acoustic tomography (MSOT), a technology using near-infrared multispectral laser to stimulate tissues and detect the emitted acoustic energy, enabling non-invasive quantification of tissue components in vivo based on differential absorbance at multiple wavelengths.

Methods: We performed a cross sectional study in patients with rheumatoid arthritis (RA), psoriatic arthritis (PsA) and healthy controls (HC). Participants underwent clinical, ultrasonographic and MSOT examination of metacarpophalangeal and wrist joints as well as the entheses of the common extensor tendon at the lateral humeral epicondyles and of the patellar, quadriceps and Achilles tendon. Read More

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Adult-Onset Still's Disease with Dermatopathic Lymphadenitis Clinicopathologic Features: A Rare Case Report and Review of the Literature.

Case Reports Immunol 2022 3;2022:1653683. Epub 2022 Jun 3.

Department of Medicine, Rheumatology Division, Khamis Mushyte General Hospital, Khamis Mushait, Saudi Arabia.

Adult-onset Still's disease (AOSD) is an inflammatory disorder characterized by fever, arthritis, and a transient skin rash. It is a rare condition characterized by inflammatory multisystem changes of unknown cause. A 35-year-old woman was admitted to rheumatology department of tertiary care hospital complaining of painful wrist and skin rash as well as fever, generalized lymphadenopathy, weight loss, and fatigue. Read More

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Psychometric properties of patient-reported outcome measures (PROMs) in wrist osteoarthritis: test-retest reliability and construct validity.

BMC Musculoskelet Disord 2022 Jun 9;23(1):558. Epub 2022 Jun 9.

Department of Hand Surgery, Skåne University Hospital, Jan Waldenströms gata 5, Malmö, SE-205 02, Sweden.

Background: Patient-reported outcome measures (PROMs) are frequently used to assess the effects of treatments in patients with wrist osteoarthritis (OA), but their psychometric properties have not been evaluated in this group of patients. Our aim was to evaluate the psychometric properties of the Numeric Rating Scale (NRS pain at rest, pain on motion without load, and pain on load), the Disabilities of the Arm, Shoulder and Hand (DASH) and the Patient Rated Wrist Evaluation (PRWE) questionnaires in patients with wrist OA regarding test-retest reliability and construct validity.

Methods: The NRS, DASH and PRWE were self-administered by 50 patients (40 men and 10 women, mean age 66 years) in a postal survey on two occasions, two weeks apart. Read More

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Modified Boyes' Procedure for the Multiple Finger Extensor Tendon Ruptures in Patients with Rheumatoid Arthritis: A Report of Two Cases.

Mod Rheumatol Case Rep 2022 Jun 7. Epub 2022 Jun 7.

Department of Rheumatology, Niigata Rheumatic Center, Shibata, Niigata, Japan.

Multiple subcutaneous extensor tendon ruptures in more than the ulnar three fingers sometimes occur in patients with rheumatoid arthritis accompanied with wrist deformity. It is difficult to treat by the interlacing suture method, because tendon is not intact and partially disappeared due to rheumatoid synovial invasion. In these situations, flexor digitorum superficialis tendon of the middle finger (the FDS3 tendon) and that of the ring finger (the FDS4 tendon) are used for the transferred tendon (modified Boyes' procedure). Read More

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Total Wrist Arthroplasty with Integra Freedom Implants: A Pilot Study with a New Evaluation System.

Indian J Orthop 2022 Jun 22;56(6):1040-1047. Epub 2022 Apr 22.

Hand Surgery Department, Ospedale San Paolo, Via Genova 30, 17100 Savona, Italy.

Introduction: Recent innovations in wrist arthroplasty implants have led to remarkable improvements in terms of results with improved stability and preservation of bone stock. Despite the advances in such implants, poor outcomes and frequent complications still affect this procedure, not allowing a wider use of this treatment in wrist arthritis.The purpose of this study is to assess the preliminary mid-term results of a Wrist Arthroplasty System (Freedom, Integra Lifesciences, Princeton, USA) in patients with rheumatoid arthritis or secondary osteoarthritis of the wrist and to propose a new classification system. Read More

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Visualization of the location and level of pain in common wrist pathologies using color-coded heatmaps.

Arch Orthop Trauma Surg 2022 Jun 6. Epub 2022 Jun 6.

Division of Hand, Plastic and Aesthetic Surgery, University Hospital, LMU Munich, Ziemssenstr. 5, 80336, Munich, Germany.

Background: Pain of the hand and wrist affects a large patient population. If the onset is unrelated to recent trauma, the first medical contact is rarely established with a specialized hand surgeon.

Objective: The objective of this investigation was to (1) visualize the localization of hand pain using pain-related heatmaps in common wrist pathologies, (2) to test whether differences between these pathologies exist with regard to sociodemographic and pain-related aspects, and (3) to evaluate the major patient-reported complaints associated with the pathologies. Read More

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Correlation of fibromyalgia survey questionnaire and quantitative sensory testing among patients with active rheumatoid arthritis.

J Rheumatol 2022 Jun 1. Epub 2022 Jun 1.

The CPIRA study was funded by the National Institute of Arthritis and Musculoskeletal and Skin at the National Institutes of Health [R01 AR064850]. This work was also supported by the National Institute of Arthritis and Musculoskeletal and Skin at the National Institutes of Health [P30 AR072579 to YCL, LNM and JS and T32 AR07080 to MNM]; the National Center for Advancing Translational Sciences at the National Institutes of Health [5KL2TR002241-04 to BIW] and the National Institutes of Health [P30 AR072571 and K24 AR070892 to TN]. MNM, Meriah N. Moore, MD, MSc, Clinical Instructor, Internal Medicine/Rheumatology, University of Michigan Medical School; BIW, Beth I. Wallace, MD, MSc, Assistant Professor, Internal Medicine/Rheumatology, University of Michigan Medical School and VA Ann Arbor Healthcare System, Center for Clinical Management Research; JS, Jing Song, MS, Internal Medicine/Rheumatology, Northwestern University Feinberg School of Medicine; LNM, Lutfiyya N. Muhammad, PhD, MPH, Assistant Professor, Preventive Medicine/Biostatistics, Northwestern University Feinberg School of Medicine ACH, Andrew C. Heisler, MD, MSc, Internal Medicine/Rheumatology, Northwestern University Feinberg School of Medicine; DJC, Daniel J. Clauw, MD, Professor, Anesthesiology, Internal Medicine/Rheumatology, Psychiatry, University of Michigan Medical School; MB, Marcy Bolster, MD, Associate Professor, Internal Medicine/Rheumatology, Allergy and Immunology, Massachusetts General Hospital; WM, Wendy Marder, MD, Clinical Professor, Internal Medicine/Rheumatology, University of Michigan Medical School; TN, Tuhina Neogi, MD, PhD, Professor, Internal Medicine/Rheumatology, Boston University School of Medicine, Evans Biomedical Research Center AW, Alyssa Wohlfahrt, MS, Tufts University School of Medicine; DDD, Dorothy D. Dunlop, PhD, Professor Emeritus, Internal Medicine/Rheumatology, Northwestern University Feinberg School of Medicine; YCL, Yvonne C. Lee, MD, MMSc, Associate Professor, Internal Medicine/Rheumatology, Preventive Medicine/Biostatistics, Northwestern University Feinberg School of Medicine. Conflict of Interest: YCL has received consulting fees, speaking fees, and/or honoraria from Eli Lilly (less than $10,000 each), research support from Pfizer, and stock ownership in Cigna. MB has received consulting fees and/or honoraria from Gilead Sciences (< $10,000) and stock ownership in Johnson and Johnson. DJC has received consultant fees from Pfizer Inc (> $10,000) and Aptinyx, Daiichi Sankyo, Eli Lilly, Intec Pharma, Samumed, Theravance, Tonix, Zynerba (< $10,000), and expert testimony for Eli Lily, Pfizer Inc, Nix Patterson LLP, Williams & Connolly LLP. Corresponding Author's Information: Meriah N. Moore, MD, MSc, University of Michigan, Division of Rheumatology, 300 N. Ingalls Street, Suite 7E-07, Ann Arbor, MI 48109-5422. Email:

Objective: Patients with rheumatoid arthritis (RA) commonly demonstrate disordered pain processing, associated with high pain sensitization. Pain sensitization is often assessed using quantitative sensory testing (QST), which is burdensome to patients. The self-administered fibromyalgia survey questionnaire (FSQ) has been proposed as a low-burden, surrogate measure of central pain sensitization. Read More

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Arthroscopic Treatment of an Juvenile Idiopathic Arthritis of the Wrist.

Handchir Mikrochir Plast Chir 2022 Jun 1. Epub 2022 Jun 1.

Department of Orthopaedic Surgery, CHA Bundang Medical Center, CHA University School of Medicine.

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Septic arthritis of the wrist: a retrospective review of 39 cases.

J Hand Surg Eur Vol 2022 May 31:17531934221101805. Epub 2022 May 31.

Department of Hand, Plastic and Reconstructive Surgery, BG Unfallklinik Tuebingen, Eberhard Karls University Tuebingen, Germany.

Level Of Evidence: III. Read More

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Radiocarpal Fusion: Indications, Technique, and Modifications.

J Hand Surg Am 2022 May 28. Epub 2022 May 28.

Department of Orthopaedics, Warren Alpert School of Medicine, Brown University, Providence, RI.

Degenerative disorders of the wrist may affect isolated joints and inhibit normal functions of the wrist secondary to pain and stiffness. These processes that affect only the radiocarpal joint may be secondary to posttraumatic osteoarthritis, primary osteoarthritis, or rheumatoid arthritis. Radiocarpal wrist arthrodesis may help preserve some of the native wrist kinematics while alleviating pain and improving the range of motion. Read More

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Comparison and correlation study of synovial ultrasound indices and serum VEGF in rheumatoid wrist arthritis before and after treatment.

Clin Rheumatol 2022 May 27. Epub 2022 May 27.

Department of Ultrasound Diagnostics, The Affiliated Changsha Central Hospital, Hengyang Medical School, University of South China, Yuhua District, No. 161 Shaoshan South Road, Changsha, 410004, China.

Objective: Rheumatoid wrist arthritis is a chronic autoimmune disease, resulting in joint deformity and functional impairment. We aimed to compare the wrist synovial ultrasound indices and serum vascular endothelial growth factor (VEGF) level in patients with RA before and after treatment, and to explore the correlation between the two.

Methods: Forty patients with RA in wrist underwent ultrasound examination to determine wrist synovial thickness, synovial blood flow grade, and synovial artery resistive index (RI) before and after treatment. Read More

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Rare septic arthritis of the wrist and carpus primary osteoarticular manifestation of : A case report.

SAGE Open Med Case Rep 2022 21;10:2050313X221102004. Epub 2022 May 21.

Department of Orthopaedic Surgery, UPMC Pinnacle, Harrisburg, PA, USA.

is one of the oldest and most studied infections, yet it remains one of the most common causes of infection-related death worldwide. The majority concern pulmonary tuberculosis. Therefore, extrapulmonary cases are rare and are often neglected in the differential diagnosis, especially in chronic musculoskeletal complaints. Read More

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Perilunate dislocation and fracture dislocation of the wrist: outcomes and long-term prognostic factors.

Orthop Traumatol Surg Res 2022 May 21:103332. Epub 2022 May 21.

Orthopedic surgery of the upper limb, hand and peripheral nerve surgery, CHU Lapeyronie, 371 Avenue du Doyen Gaston Giraud, 34090 Montpellier, France.

Introduction: Perilunate dislocations and fracture-dislocations are severe injuries that often have serious functional sequelae. Our goal was to evaluate the long-term clinical and radiological results of these perilunate injuries, and to look for prognostic factors of a poor clinical outcome.

Hypothesis: All patients who suffered perilunate injuries in their wrist have functional sequelae and long-term radiographic changes despite optimal treatment with anatomical surgical reduction. Read More

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Review of surgical treatment for chronic scapholunate ligament reconstruction: a long-term study.

Eur J Orthop Surg Traumatol 2022 May 24. Epub 2022 May 24.

Department of Orthopaedics & Rehabilitation, The University of New Mexico, Albuquerque, NM, 87121, USA.

Purpose: Scapholunate dissociation (SLD) is a common entity encountered by hand surgeons. While multiple methods for surgical treatment exist, there is little agreement on the best surgical techniques to treat chronic, static SLD. Our study's goal was to assess the long-term (greater than five years), clinical and radiologic outcomes of the currently recommended treatment options for chronic, static SLD. Read More

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Metacarpophalangeal joint hyperextension in rhizartrosis: is surgical correction necessary?

Acta Biomed 2022 03 10;92(S3):e2021573. Epub 2022 Mar 10.


Background And Aim: Rhizarthrosis represents 10% of all arthritic manifestations and its prevalence increases with age and in women. The hyperextension of the metacarpophalangeal joint (MCPj) is consequent to a progressive dorsoradial subluxation of the trapeziometacarpal joint (TMj) in advanced osteoarthritis. The aim of this retrospective study is to evaluate the clinical and functional results of 32 patients affected by advanced rhizarthrosis who underwent to modified Burton-Pellegrini's trapeziectomy in absence of surgical correction of MCPj hyperextension in order to understand when this last step is really necessary. Read More

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The Efficacy of Intra-Articular Versus Extra-Articular Corticosteroid Injections in the Thumb Carpometacarpal Joint.

J Hand Surg Glob Online 2022 May 11;4(3):128-134. Epub 2022 Feb 11.

Rothman Orthopaedic Institute, Philadelphia, PA.

Purpose: This study evaluated whether the location of steroid deposition (intra-articular vs extra-articular) for thumb carpometacarpal (CMC) joint arthritis affects clinical outcomes.

Methods: We prospectively enrolled 102 hands (82 patients) with thumb CMC joint arthritis. Patients received a CMC joint injection with Triamcinolone and radiopaque contrast. Read More

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Trapeziectomy and Alternative Suspension Technique in Thumb Carpometacarpal Arthritis: Patient-Reported Outcome Measures.

J Hand Surg Glob Online 2022 May 26;4(3):156-161. Epub 2022 Mar 26.

Department of Plastic, Reconstructive and Hand Surgery, University Medical Center Utrecht, Utrecht, the Netherlands.

Purpose: For treatment of carpometacarpal thumb joint osteoarthritis, a trapeziectomy with an alternative suspension technique can be performed as the primary surgery or as the secondary after a failed primary surgery. This study evaluates the midterm follow-up (median, 54 months) for this technique using patient-reported outcome measures.

Methods: After trapeziectomy, an alternative suspension technique is performed with a flexor carpi radialis tendon strip. Read More

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Gonococcal arthritis: case series of 58 hospital cases.

Clin Rheumatol 2022 May 20. Epub 2022 May 20.

Internal Medicine Department, CHU Nord, La Réunion, France.

Objectives: Extra-genital manifestations of gonococcal infection are rare (0.5-3%). Among them, gonococcal arthritis (GA) is the most frequent, accounting for 30-90% of disseminated infections. Read More

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Understanding prescribed dose in hand strengthening exercise for rheumatoid arthritis: A secondary analysis of the SARAH trial.

Musculoskeletal Care 2022 May 16. Epub 2022 May 16.

Nuffield Department of Orthopaedics Rheumatology and Musculoskeletal Sciences (NDORMS), University of Oxford, Oxford, UK.

Objective: 1) To identify therapist or participant characteristics associated with prescribed dose of hand strengthening exercise in adults with rheumatoid arthritis and 2) To determine the impact of dose prescribed on outcome (hand function and grip strength).

Methods: Overall dose was calculated using area under the curve (AUC). Analysis 1 assessed the association between therapist professional background, therapist grade, baseline participant physical and psychological characteristics and prescribed dose. Read More

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Primary repair of extensor pollicis longus rupture after volar locking plating for distal radial fracture.

Hand Surg Rehabil 2022 May 13. Epub 2022 May 13.

Department of Orthopedic Surgery, Regional Rheumatoid and Degenerative Arthritis Center, Chungnam National University Hospital, Chungnam National University School of Medicine, 266 Munwha-ro, Jung-Gu, Daejeon, South Korea.

We presumed that primary repair would be possible if the extensor pollicis longus (EPL) rupture after volar locking plating (VLP) for distal radius fracture (DRF) was diagnosed earlier. Thus, five cases of EPL ruptures were resolved via primary repair rather than extensor indicis proprius (EIP) transfer, so we reported the clinical outcomes of at least 2 years follow-up since EPL repair. Of 588 consecutive patients with the fractures treated between January 2016 and December 2019, 501 who met out inclusion/exclusion criteria were initially investigated. Read More

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Case Report: Evidence of Migratory Silicone Particles Arising From Cohesive Silicone Breast Implants.

Front Glob Womens Health 2022 25;3:730276. Epub 2022 Apr 25.

Institute of Applied Biosciences and Chemistry, HAN University of Applied Sciences, Nijmegen, Netherlands.

Background: Silicone implants have been used since the 1960s for aesthetic purposes and breast reconstructions. During this period, many women have reported up to 40 similar symptoms, including fatigue, the emergence of autoimmune diseases, Raynaud Phenomenon, arthritis, arthralgias, and hair loss, among others. However, most of the time, these symptoms are neglected by doctors across different specialties and are most often considered a psychosomatic disease. Read More

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A multicentre validation study of a smartphone application to screen hand arthritis.

BMC Musculoskelet Disord 2022 May 9;23(1):433. Epub 2022 May 9.

, Perth, Australia.

Background: Arthritis is a common condition, and the prompt and accurate assessment of hand arthritis in primary care is an area of unmet clinical need. We have previously developed and tested a screening tool combining machine-learning algorithms, to help primary care physicians assess patients presenting with arthritis affecting the hands. The aim of this study was to assess the validity of the screening tool among a number of different Rheumatologists. Read More

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Carpal tunnel syndrome associated with chronic bursitis: A case report.

J Int Med Res 2022 May;50(5):3000605221097376

Department of Orthopaedics, Taizhou People's Hospital, Taizhou, Jiangsu Province, China.

This current report presents a rare case of carpal tunnel syndrome with chronic bursitis that was treated successfully by open surgery. A 53-year-old female patient that had begun to experience swelling, pain and limited flexion activity of the left wrist 1 year previously presented because of a deterioration in her condition and numbness of the thumb, index finger and middle finger in the previous 2 months without any treatment. The diagnosis of bursitis should be based on clinical symptoms and signs, combined with colour ultrasonography, magnetic resonance imaging, arthroscopy and arthrography. Read More

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Rhabdomyolysis after Intravenous Ferric Gluconate: A Case Report.

Eur J Case Rep Intern Med 2022 21;9(4):003325. Epub 2022 Apr 21.

Centre for Rare Diseases - Disorders of Iron Metabolism, ASST-Monza, San Gerardo Hospital, Monza, Italy.

Patients with severe iron deficiency, malabsorption or intolerance to oral iron are frequently treated with intravenous iron replacement. We report the case of a 42-year-old woman with non-erosive oligoarticular arthritis with antiparietal cell antibodies and iron deficiency anemia secondary to menorrhagia and unresponsive to oral iron preparations. She was treated with an intravenous infusion of ferric gluconate. Read More

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Effect of splint on pain, function and quality of life in trapeziometacarpal osteoarthritis patients?

Acta Orthop Belg 2022 Mar;88(1):179-185

Trapeziometacarpal (TM) Osteoarthritis is one of the most common osteoarthritis. It causes pain, loss of mobility and strength and affected function in daily life. Splint is one of the conservative treatments proposed to patients. Read More

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Machine learning-based prediction of relapse in rheumatoid arthritis patients using data on ultrasound examination and blood test.

Sci Rep 2022 05 4;12(1):7224. Epub 2022 May 4.

Department of Human Health Sciences, Graduate School of Medicine, Kyoto University, 53 Kawahara-cho, Shogoin, Sakyo-ku, Kyoto, 606-8507, Japan.

Recent effective therapies enable most rheumatoid arthritis (RA) patients to achieve remission; however, some patients experience relapse. We aimed to predict relapse in RA patients through machine learning (ML) using data on ultrasound (US) examination and blood test. Overall, 210 patients with RA in remission at baseline were dichotomized into remission (n = 150) and relapse (n = 60) based on the disease activity at 2-year follow-up. Read More

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Sauvé-Kapandji and Darrach Salvage Procedure Rates and Perioperative Parameters for Distal Radioulnar Joint Arthritis and Instability.

Hand (N Y) 2022 May 2:15589447221092055. Epub 2022 May 2.

Medical University of South Carolina, Charleston, USA.

Background: Distal radioulnar joint (DRUJ) instability and arthritis are often painful and functionally limiting pathologies. Two common salvage procedures for DRUJ dysfunction are the Darrach and Sauvé-Kapandji (S-K) procedures. This study aims to provide an analysis of national Darrach and S-K procedure utilization rates and patient demographics. Read More

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