类风湿性手部疾病管理的当前概念
Current concepts in the management of the rheumatoid hand.
作者信息
Chung Kevin C, Pushman Allison G
机构信息
Section of Plastic Surgery, Department of Surgery, University of Michigan Health System, Ann Arbor, MI 48109-0340, USA.
出版信息
J Hand Surg Am. 2011 Apr;36(4):736-47; quiz 747. doi: 10.1016/j.jhsa.2011.01.019.
Abstract
Hand surgeons are an integral part of the management team for patients with rheumatoid arthritis. There is now a greater understanding of the national use of rheumatoid hand surgery, which highlights the differences between hand surgeons and rheumatologists regarding the treatment of the rheumatoid hand. Advances in medical treatments have also decreased the prevalence of hand deformities caused by this disease. Hand surgeons today have less exposure to treating rheumatoid hand, but despite more effective medical options, surgery may still offer patients hope for improvement of hand function and appearance. This article summarizes the current state of rheumatoid hand surgery and discuss the surgical treatment strategies for optimizing outcomes for patients with rheumatoid arthritis.
摘要
手外科医生是类风湿性关节炎患者管理团队中不可或缺的一部分。目前人们对全国范围内类风湿性手部手术的使用有了更深入的了解，这凸显了手外科医生和风湿病学家在类风湿性手部治疗方面的差异。医学治疗的进步也降低了这种疾病导致的手部畸形的发生率。如今，手外科医生治疗类风湿性手部疾病的机会减少了，但是尽管有了更有效的医疗选择，手术仍然可能为患者改善手部功能和外观带来希望。本文总结了类风湿性手部手术的现状，并讨论了为类风湿性关节炎患者优化治疗效果的手术治疗策略。
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