OWL: OCOSH Classification/Joint Diseases/Arthritis/Rheumatoid Arthritis

1982 Trochanteric bursitis - a frequent cause of 'hip' pain in rheumatoid arthritis

Raman & Haslock — 2009-10-09 21:00:42 GMT

One hundred consecutive patients with rheumatoid arthritis (RA) were examined for the presence of trochanteric bursitis. This condition was found in 15. Ten patients responded to a single local injection of corticosteroid and the remaining 5 to a second injection. Trochanteric bursitis is an underdiagnosed, easily remediable cause of pain in RA. Specific examination for in presence should be a routine in all patients with RA, especially those with hip pain.
Trochanteric bursitis--a frequent cause of 'hip' pain in rheumatoid arthritis. D Raman, I Haslock Annals of the Rheumatic Diseases 1982;41:602-603 Full text

1991 Anterolateral rupture of popliteal cysts in rheumatoid arthritis

Kirkham et al — 2009-10-17 21:00:42 GMT

Two cases of rupture of lateral cysts which produced symptoms related to the anterolateral lower leg are reported. The difficulty of diagnosing the condition because of this unusual site of inflammation and subsequent management problems are discussed.
Anterolateral rupture of popliteal cysts in rheumatoid arthritis. Kirkham B, Churchill M, Dasgupta B, Wedderburn L, Spencer J, Macfarlane DG. Ann Rheum Dis. 1991 Mar;50(3):187-8.

1998 Ankle arthroplasty for rheumatoid arthritis and osteoarthritis

Kofoed & S�rensen — 2009-11-03 21:00:42 GMT

We performed 52 cemented ankle arthroplasties for painful osteoarthritis (OA) (25) or rheumatoid arthritis (RA) (27) using an ankle prosthesis with a near-anatomical design.
We assessed the patients radiologically and clinically for up to 14 years using an ankle scoring system. The preoperative median scores were 29 for the OA group and 25 for the RA group and at ten years were 93.5 and 83, respectively. Six ankles in the OA group and five in the RA group required revision or arthrodesis.
Survivorship analysis of the two groups showed no significant differences with 72.7% survival for the OA group and 75.5% for the RA group at 14 years.
Ankle arthroplasty for rheumatoid arthritis and osteoarthritis PROSPECTIVE LONG-TERM STUDY OF CEMENTED REPLACEMENTS H. Kofoed, MD, Consultant and T. S. S�rensen, MD

1999 Giant rheumatoid synovial cyst of the hip joint diagnosed by MRI

Patkar et al — 2009-10-17 21:00:42 GMT

Synovial cysts are commonly found in the knee joint. Hip Joint is an infrequent site for formation of synovial cysts. The features of a large, synovial cyst on magnetic resonance imaging, occurring in the hip joint, are described.
Giant rheumatoid synovial cyst of the hip joint: diagnosed by MRI. Patkar D, Shah J, Prasad S, Patankar T, Gokhale S, Krishnan A, Limdi J. J Postgrad Med. 1999 Oct-Dec;45(4):118-9.

2000 Management of Early Rheumatoid Arthritis

Not Available — 2002-04-17 21:00:42 GMT

Management of Early Rheumatoid Arthritis. SIGN Guideline
SIGN Publication No. 48 ISBN 1899893 37 7 Published December 2000

2003 Hypointense Synovial Lesions on T2-Weighted MRI Images

Narv�ez et al — 2009-01-21 21:00:42 GMT

AJR 2003; 181:761-769 Hypointense Synovial Lesions on T2-Weighted Images: Differential Diagnosis with Pathologic Correlation Jos� A. Narv�ez, Javier Narv�ez, Ra�l Ortega1, Eugenia De Lama1, Yolanda Roca1 and Noem� Vidal
Synovial tissue that lines joint cavities, bursae, and tendinous sheaths is generally too thin to be shown on MRI. However, as synovial tissue thickens because of diverse abnormal conditions, it may become visible on MRI. Signal intensity is a feature of paramount importance in the MRI assessment of these synovial lesions.
Contents
Pigmented Villonodular Synovitis Giant Cell Tumor Hemophilic Arthropathy Dialysis-Related Amyloid Synovial Chondromatosis Long-Standing Rheumatoid Chronic Tophaceous Gout Siderotic Synovitis

2003 Rheumatoid arthritis of the wrist

Ilan DI, Rettig ME — 2009-11-01 21:00:42 GMT

The wrist is the most commonly involved joint in the upper extremity of patients with rheumatoid arthritis. Up to 75% of patients will develop wrist problems during the course of the disease. Cartilage degeneration and synovitis cause the typical skeletal erosions, ligamentous laxity, deformity, and tendon problems seen in the disease. Treatment involves a multidisciplinary approach with careful coordination of the primary care physician, rheumatologist, orthopaedic surgeon, and other members of the care team. As rheumatoid arthritis is a systemic, polyarticular disease, it is critical to consider the entire patient in any management decision. Initial management is usually non-operative and involves pharmacological treatment, activity modification, and possibly bracing. Operative treatments are geared to limit the negative effects of the disease, namely pain, loss of function, and deformity. Numerous procedures have been described. Common procedures from tenosynovectomy/synovectomy, distal radio-ulnar joint arthroplasty, arthrodesis, and total wrist arthroplasty are reviewed.
Rheumatoid arthritis of the wrist. Ilan DI, Rettig ME. Bull Hosp Jt Dis. 2003;61(3-4):179-85. Full text available

2005 Semi-constrained total elbow arthroplasty for the treatment of rheumatoid arthritis of the elbow

Lee et al — 2007-10-29 21:00:42 GMT

K T Lee, S Singh, C H Lai Singapore Med J 2005; 46(12) : 718
Conclusion: Our small study revealed good to excellent short-term outcome with the use of semi-constrained total elbow arthroplasty for the treatment of rheumatoid arthritis of the elbow in Asian patients.

2006 Rheumatoid Arthritis eMedicine Rheumatology

Howard R Smith, MD — 2008-04-10 21:00:42 GMT

Rheumatoid arthritis (RA) is a chronic systemic inflammatory disease of unknown cause that primarily affects the peripheral joints in a symmetric pattern. Constitutional symptoms, including fatigue, malaise, and morning stiffness, are common. Extra-articular involvement of organs such as the skin, heart, lungs, and eyes can be significant. RA causes joint destruction and thus often leads to considerable morbidity and mortality. The treatment of RA is rapidly advancing with the recent addition of new and innovative therapies.
Synonyms and related keywords: RA, systemic inflammatory disease, rheumatoid factor, RF, cyclooxygenase, COX-1, COX-2, nonsteroidal anti-inflammatory drugs, NSAIDs, disease-modifying antirheumatic drugs, disease-modifying anti-rheumatic drugs, DMARDs, joint destruction, uncontrolled inflammation, cartilage destruction, bone destruction, morning stiffness, rheumatoid nodules
Howard R Smith, MD 2006 Updated 2011

2007 Has hip surgery for Rheumatoid Arthritis moved on?

Mr Niall Steele — 2009-05-21 21:00:42 GMT

From the 1960�s to the mid 1980�s cemented total hip replacement was the best option for the hip joint severely destroyed by rheumatoid arthritis. Around the early 1980�s several papers reported very good long term survival of the cemented femoral components with some still functioning well at 15 year follow up. Unfortunately the cemented acetabular components were not lasting as well.
Mr Niall Steele FRCS 2007

2007 Has surgery for RA of the ankle and foot moved on?

Mr Nilesh.K.Makwana. FRCS — 2009-05-21 21:00:42 GMT

The initial presentation of RA is the foot and ankle in 16-19% of cases. In time most patients will develop symptoms in the foot and ankle. The forefoot is more likely to be involved early on the disease than the hindfoot. The midfoot is also involved with radiological changes but this is less likely to give symptoms.
Mr Nilesh.K.Makwana. FRCS 2007

2007 Has surgery for the rheumatoid knee moved on?

Mr Steve White — 2009-05-21 21:00:42 GMT

Arthroscopic synovectomy is still widely practised although there is a lack of rigorous evidence by controlled trials. However, recent studies including a sizeable case series lend further support to its efficacy at a chemical level (immunohistological analyses) and at a functional level (Lysholm scores and Insall scores).
Mr Steve White BMed Sci, BM, BS, FRCS, DM 2007

2007 The Role of Imaging in the Management of Rheumatoid Arthritis

Troum et al — 2008-07-23 21:00:42 GMT

What does this mean for my patients? Upon completing this activity, you should be able to differentiate between the van der Heijde-modified Sharp, modified Genant, and Larsen scoring systems and describe how they are utilized in measuring joint alterations in RA patients, identify 3 different imaging techniques used in assessing RA severity and the benefits and limitations of each, evaluate magnetic resonance imaging, ultrasonography, and x-ray data for joint alterations due to RA, and more.
Authors - Orrin M. Troum, MD John V. Crues, III, MD Sergio Schwartzman, MD

2007 The role of surgery in rheumatoid arthritis of the shoulder

Mr Stuart Hay — 2009-05-21 21:00:42 GMT

The shoulder is commonly involved in early Rheumatoid Arthritis (RA), being eclipsed only by the metacarpophalangeal joint, the proximal interphalangeal joint and the wrist (1). RA causes destruction, discomfort and disability, and although modern medical management will slow disease progression, there remains a potent role for the modern shoulder surgeon.
Mr Stuart Hay 2007

2008 Hepatotoxicity associated with sulfasalazine in inflammatory arthritis

Jobanputra et al — 2008-04-13 21:00:42 GMT

Hepatotoxicity associated with sulfasalazine in inflammatory arthritis: A case series from a local surveillance of serious adverse events Paresh Jobanputra , Roshan Amarasena , Fiona Maggs , Dawn Homer , Simon Bowman , Elizabeth Rankin , Andrew Filer , Karim Raza and Ronald Jubb BMC Musculoskeletal Disorders 2008, 9:48
Conclusions Serious hepatotoxicity associated with sulfasalazine appears to be under-appreciated and intensive monitoring and vigilance in the first 6 weeks of treatment is especially important.