Download to read offline
More Related Content
Similar to DEFORMITY IN RA upperlimb anmd lowerlimb
DEFORMITY IN RA upperlimb anmd lowerlimb
- 1. DEFORMITY IN RA -DR.JAYAMAKHIJA MPT-ORTHOPAEDICS
- 2. Boutonniere deformity- extensionof MCP and DIP joints and flexion of PIP joint. occurs due to rupture of extensor tendon. Seen in Rheumatoid arthritis patients. Also called as buttonhole deformity Stages : 1-passively correctable deformity Stage 2:fixed contracture Stage 3; fixed contracture with fibrosis Stage 4: stage 3+ PIP arthritis
- 3. Jersey finger • Oppositeof mallet finger • Pt is unable to flex distal IP joint • Jersey finger (rugby finger) is an avulsion of the flexor digitorum profundus tendon (FDP) from its distal insertion on the distal phalanx (zone I).
- 4. Claw hand • Appearslike claw of animal. • Occurs due to injury to ulnar nerve. • Involves lumbricals of hand. • Hyperextension at MCP and flexion at IP joint resembles claw hand. • Seen in leprosy and RA • Wasting of muscles can be seen. • Can be treated conservative or surgical. • Difficulty in grips and grasps.
- 5. Swan neck deformity •PIP joint hyper extension and DIP joint flexion. • Occurs due to damage to extensor tendon and results in loss of ROM. • Seen in RA. • Treated by splint, surgical procedures. • PT- waxbath, flexibility ex • Fig of 8 ring splint/anti swan neck orthosis
- 6. Mallet finger • Injuryto tendon that extends DIP joint. • Occurs due to injury such as hit by ball. • Also called as hammer finger. • Can cause avulsion fracture. • Treated by splint or surgical procedures. • Might limit ROM. • Also called as baseball finger or drop finger
- 7. Classification of malletfinger-doyle classification • Type 1- closed injury with or without avulsion fracture • Type 2- open injury(only lacerations) • Type 3- open injury( deep, involving skin and tendon) • Type 4- mallet fracture
- 8. Zig zag deformityof thumb • Occurs due to loss of stabilizing muscle and rupture of ligaments. • Seen in RA
- 9. Ulnar drift • Occursdue to MCP joint synovitis and loosening of collateral ligaments • Interosseous muscle contracture occurs • Can be mild,moderate,severe
- 10. Opera glass hand •Shortening of fingers due to destruction of phalanges • Excess skin gets folded
- 11. Hammer toe • Ahammer toe is a deformity of the second, third, or fourth toes. In this condition, the toe is bent at the middle joint, so that it resembles a hammer. Initially, hammer toes are flexible and can be corrected with simple measures; however, if left untreated, they can become fixed and require surgery.
- 12. Hallux valgus orbunions • A bony bump that forms on the joint at the base of the big toe. • A bunion is formed when the big toe pushes against the next toe and becomes red and painful. Tight shoes, foot stress, and arthritis are the causes. • The main symptoms are bone deformity, pain and stiffness. • Treatments include changing shoes, padding the foot and pain medication. Painful bunions can be removed surgically.
- 13.
- 14. Forefoot splaying • Splayfootis a term used to describe the spreading of the metatarsal bones (forefoot), hence resulting in the disappearance of the transverse arch of the foot.