Hand deformity is one of the possible rheumatoid arthritis in hand of rheumatoid arthritis. Are conditions like ulnar drift, in which the hand and wrist are twisted, avoidable? Is Hand Deformity Inevitable With Rheumatoid Arthritis?
Is the condition preventable or inevitable? Rheumatoid arthritis is caused when the immune system malfunctions and attacks the joints of the body, causing pain, inflammation, fatigue, and weakness. When this happens in the hands, it can make opening a jar near-impossible and lead to the gradual deformity of the wrists, hands, and fingers. With rheumatoid arthritis, the immune system sends white blood cells, called leukocytes, to attack healthy joint tissue. The synovium responds to this assault by producing layer upon layer of new synovial cells, one atop the next.
The accumulation of these tissues causes progressive deformity as they squeeze into the joint space and trigger the release of proteins that further degrade the surrounding cartilage and bone. These complex biochemical changes can affect the very architecture of the hand, causing a distortion of tendons and misalignment of bones and joints. Rheumatoid arthritis usually develops asymmetrically, meaning that it can affect one hand differently than the other. This is where the fingers begin to drift toward the pinky due to the rupture of nearby tendons. At the same time, the wrist will begin to shift toward the thumb side of your hand. When hand deformity occurs, it cannot be reversed by medications. Surgery may help realign the hand and restore some of the range of motion and function.
It is not an easy surgery to perform and generally requires an extended recovery time with physical therapy. Current Concepts in the Management of Rheumatoid Hand. Do You Have Any of the Risk Factors for Rheumatoid Arthritis? Should You Get Vaccinations if You Have Rheumatoid Arthritis? Do You Know the Details of Your Employee Benefit Plans?