(OBQ13.151) Thank you. Orthobullets Team Foot & Ankle - Lisfranc Injury; Listen Now 17:18 min. 2% (29/1804) 4. Nonoperative. Hunter syndrome (type II mucopolysaccharidosis), 2023 Bobby Menges Memorial HSS Limb Reconstruction Course, Type in at least one full word to see suggestions list, Cleveland Combined Hand Fellowship Lecture Series 2020-2021, Hand Manifestation of Rheumatoid Arthritis - Michael Firtha, DO, Arthrodesis & Arthroplasty of Small Joints of the Hand - Shaan Patel, MD, Cleveland Combined Hand Fellowship Lecture Series 2019-2020, Small Joints Arthroplasty vs Arthrodesis - Imad Abushahin, MD, Basic Science | Rheumatoid Arthritis of the Elbow (ft. Dr. Matthew L. Ramsey), Hip pain with an unusual pelvic XRay in a 68M. A representative coronal MRI sequence at the level of the cuboid is shown in Figure A. Intra-operatively, the peroneal tendon located directly posterior to the fibula is found to be normal. 56% (1135/2011) 85% (1536/1804) 3. leads to eventual collapse of 2nd MT head. indications. Neoplasm. Lumbar radiculopathy. (SBQ12FA.39) Coupled with first metatarsophalangeal joint arthrodesis for hallux rigidus. Orthobullets Team Pediatrics - Cavovarus Foot in Pediatrics & Adults Technique Guide. Neoplasm. Turf Toe is a hyperextension injury to the plantar plate and sesamoid complex of the big toe metatarsophalangeal joint that most commonly occurs in contact athletic sports. Diagnosis is made with a combination of physical examination, characteristic radiographs, and labs to evaluate for presence of RF andanti-CCP antibodies. Coupled with first metatarsophalangeal joint arthrodesis for hallux rigidus. fracture (caused by hyperextension and axial loading), potential avulsion of plantar plate off base of phalanx, sesamoids play important role in function of great toes by, FHB attaches to both tibial and fibular sesamoid, sesamoids are connected to each other by intersesamoid ligament and plantar plate, abductor hallucis is connected to tibial sesamoid, adductor hallucis is connected to fibular sesamoid, sesamoid function is analogous to the patella as they increase the mechanical advantage of the FHB, possible plantar-flexed MTP with cavus foot, helps distinguish a bipartite sesamoid from a fracture, use caution with interpretation as 25%-30% of asymptomatic patients can have increased uptake, increased uptake compared to uninjured side helps diagnosis, keratotic lesion present increasing pressure on sesamoids, nonoperative management fails after 3-12 months, plantar-flexed first ray with sesamoid injury, may be partial or complete sesamoidectomy, removal of both sesamoids is associated with a high incidence of cock-up deformity of the great toe, caused by weakening of the flexor hallucis brevis tendon, which should be meticulously repaired after sesamoid excision, excision of both sesamoids should be avoided, may be caused from tibial sesamoid excision, may be caused by fibular sesamoid excision, Posterior Tibial Tendon Insufficiency (PTTI). Smillie Classification. (OBQ12.23) Acute medial sesamoid fracture. open reduction and internal fixation. Anterior tarsal tunnel syndrome. Classification. Team Orthobullets 4 Foot & Ankle - Turf Toe; Listen Now 12:45 min. Keller procedure with lesser metatarsal head resections, 1st MTP joint fusion and lesser metatarsal head resections, 1st MTP joint interposition arthroplasty and lesser MTP joint arthroplasties. trauma leading to forced external rotation and abduction of ankle. Studies. Classification. Perform stress radiographs to assess integrity of the syndesmosis. normal deltoid ligament. may occur with fracture of the medial malleolus. Treatment. On physical exam, he is painful to resisted eversion, resisted plantar flexion of the 1st metatarsal and has a positive Coleman block test. Cervical rheumatoid spondylitis includes three main patterns of instability, history of prior surgical site infection (SSI), is the most significant risk factor for development of another SSI, the literature is controversial whether RA patients on immunosuppressive therapy have significantly, pharmacologic therapy may need to be changed prior to surgical interventions, surgery should be performed when immunosuppressive agents are at their lowest levels, etanercept should be discontinued 2 week prior to major urgical procedures, adalimumab should be discontinued 10 days prior to surgery, the lowest level of infliximab is found 2 weeks prior to the next scheduled infusion, Significant advances in pharmacologic management have led to a decrease in surgical intervention. This system divides tibial plateau fractures into six types: Schatzker I: wedge-shaped pure cleavage fracture of the lateral tibial plateau, originally defined as having less than 4 mm of depression or displacement Schatzker II: splitting and depression of the lateral tibial plateau; namely, type I fracture with a depressed component (generally considered Treatment usually includes a period of immobilization followed by physical therapy. can result in 5th metatarsal stress fractures. used to rule out stress fracture of the proximal phalanx. This system divides tibial plateau fractures into six types: Schatzker I: wedge-shaped pure cleavage fracture of the lateral tibial plateau, originally defined as having less than 4 mm of depression or displacement Schatzker II: splitting and depression of the lateral tibial plateau; namely, type I fracture with a depressed component (generally considered Acute medial sesamoid fracture. First metatarsal base stress fracture. 76% (1926/2520) 4. First branch of the lateral plantar nerve (Baxter's) entrapment. rest, NSAIDS, taping, stiff-sole shoe or walking boot Metatarsal head fracture. Studies. Cotton. Nonoperative. Her symptoms returned with ballet activity following a 1 month course of full rest, nonsteroidal anti-inflammatory medication, and physical therapy. Operative. Plain radiographs of her feet are pictured in Figure A. Nonoperative. Treatment may be casting or operative depending on the age of the patient and the type of fracture. Calcaneal Lengthening Osteotomy Fifth metatarsal fracture. (OBQ11.190) 5% (127/2520) L 2 D Select Answer to see Preferred Response. Second metatarsal base stress fracture. (OBQ11.253) A 17-year-old ballet dancer presents with 5 months of pain in the posterior aspect of the right lower extremity that is exacerbated with the ballet position shown in Figure A. 5th Metatarsal Base Fracture Metatarsal FX Tarsal Navicular FX external rotation stress test. Avertical Lachman test will show greater laxity compared to the contralateral side. Microsoft pleaded for its deal on the day of the Phase 2 decision last month, but now the gloves are well and truly off. An MRI is performed and selected cuts are shown in Figures B and C. What is this patients diagnosis? Recalcitrant medial sesamoid stress fracture with fragmentation. Plan surgery at the end of dosing +1 week interval (~13 weeks last dose). Stress fracture. Percutaneous pinning of the physeal fracture and long leg cast placement. 10/15/2019. Operative. Which of the following is more likely to occur following a total knee arthroplasty without patellar resurfacing versus a total knee arthroplasty with patellar resurfacing in patients with rheumatoid arthritis? 69-year-old male with a valgus impacted three-part proximal humerus fracture, 89-year-old female with a valgus impacted (Garden I) femoral neck fracture, 14-year-old male with a displaced distal femoral physeal fracture, 13-year-old female with a displaced transcervical femoral neck fracture, 42-year-old male with a closed 5th metatarsal fracture at the metaphyseal-diaphyseal junction. Rheumatoid factor does not target an immunoglobulin. grade 1: clean wound <1 cm in length; grade 2: wound 1-10 cm in length without extensive soft-tissue damage, flaps or avulsions; grade 3: extensive soft-tissue laceration (>10 cm) or tissue loss/damage or an open segmental fracture (SBQ12FA.79) She has tried orthotics and custom shoes but notes worsening foot pain that is limiting her daily activities. Coupled with Lapidus procedure for hallux valgus, Recalcitrant medial sesamoid stress fracture with fragmentation, Coupled with first metatarsophalangeal joint arthrodesis for hallux rigidus. rest, NSAIDS, taping, stiff-sole shoe or walking boot Metatarsal head fracture. 5% Distal 1st metatarsal chevron osteotomy with proximal phalanx Akin procedure. Orthobullets Team Foot & Ankle - Lisfranc Injury; Listen Now 17:18 min. Orthobullets Team Foot & Ankle - Lisfranc Injury; Listen Now 17:18 min. Treatment is urgent to avoid complication of osteonecrosis, nonunion, and premature physeal closure. 1% (80/5501) 5. Metatarsal head osteonecrosis. Restart >14 days postoperatively. Freiberg's Infraction. What is the most appropriate treatment? 5th metatarsal base fractures are common traumatic fractures among athletic populations that are notorious for nonunion due to tenuous blood supply. (OBQ12.224) Orthobullets Team Pediatrics - Cavovarus Foot in Pediatrics & Adults Technique Guide. (OBQ10.4) What is the most important consideration in the preoperative evaluation of a child with polyarticular or systemic juvenile rheumatoid arthritis (JRA)? Treatment is either immobilization or surgery depending on location of fracture, degree of displacement, and athletic level of patient. Calcaneal Lengthening Osteotomy Fifth metatarsal fracture. Inheritance Patterns of Orthopaedic Syndromes, General and Regional Anesthesia in Orthopaedics, Legal Considerations in Orthopaedic Practice. TNF antagonists (etanercept, infliximab, adalimumab). 94% (2908/3108) 4. 5th Metatarsal Base Fracture gravity stress view can identify medial clear space widening. She has failed conservative treatment and radiographs are shown in Figure A. Medical treatment targeting TNF-alpha has revolutionized which of the following diseases? 12% (235/2011) 3. (OBQ06.144) She has tried orthotics and custom shoes but notes (OBQ10.93) high ankle sprain & syndesmosis injury . MRI of the right foot can be seen in Figure A. Proximal Femur Fractures in the pediatric poplulation are rare fractures caused by high-energy trauma and are often associated with polytrauma. Freiberg's Disease is a rare foot condition characterized by infarction and fracture of the metatarsal head. MRI of the right foot can be seen in Figure A. Freiberg's Infraction. Treatment is nonoperative versus operative based on fracture displacement and alignment, associated soft tissue injury, and patient risk factors. Copyright 2022 Lineage Medical, Inc. All rights reserved. Restart 10-14 days after. Plantar fascia strain. Figure A displays her hand during active extension of all fingers. trauma leading to forced external rotation and abduction of ankle. 5% Distal 1st metatarsal chevron osteotomy with proximal phalanx Akin procedure. What is the most common surgical complication of resection of both the medial (tibial) and lateral (fibular) hallucal sesamoids on the same foot for intractable keratosis? indications. (SBQ12FA.39) 75-year-old woman with long standing rheumatoid arthritis presents with worsening bilateral foot pain. What is the mechanism of action of Infliximab? Only when nonoperative treatment fails is surgical reconstruction indicated. metatarsal stress fracture. 89% (3285/3693) L 1 Classification. A radiograph is shown in Figure B. Her radiographs and bone scan are shown in Figures A and B. high ankle sprain & syndesmosis injury . Stop 1-2 days before for major procedures. 5% Distal 1st metatarsal chevron osteotomy with proximal phalanx Akin procedure. Patients present with insidious onset ofmorning joint stiffness, polyarthropathy. Orthobullets Team Pediatrics - Cavovarus Foot in Pediatrics & Adults Technique Guide. Diagnosis is suspected with hallux pain that is worse with hyperextension and can be confirmed with MRI studies. can result in 5th metatarsal stress fractures. Galeazzi Fracture - Pediatric stress fractures along the fourth and/or fifth metatarsal bases can develop secondary to repetitive load along the lateral border of the foot. Hallux valgus. Figure B displays her hand maintaining her fingers extended following passive extension. All of the following are characteristic of synovium affected by rheumatoid arthritis (RA) EXCEPT: (OBQ05.143) tarsal fracture. 85% (1536/1804) 3. Treatment. Hallux valgus. 2-4 cm in length. open reduction and internal fixation. Classification. 76% (1926/2520) 4. A collegiate soccer player presents as a referral to your office after sustaining an injury to the right foot, which he describes as hyperdorsiflexion of the toes. rest, NSAIDS, taping, stiff-sole shoe or walking boot Metatarsal head fracture. Stage 1. Calcaneonavicular Ligament (Spring Ligament) Function. The patient has palpable pulses, active drainage at the ulcer, and does not have protective sensation with a 5.07 Semmes-Weinstein filament. 93 plays. 2% (68/3108) 5. Freiberg's Disease is a rare foot condition characterized by infarction and fracture of the metatarsal head. 2-4 cm in length. He is exquisitely tender over the 1st metatarsal. Second metatarsal base stress fracture. (OBQ12.137) Diagnosis is made clinically with the inability to hyperextend the hallux MTP joint without significant pain and the inability to push off with the big toe. (SBQ18BS.15) On physical exam, he is painful to resisted eversion, resisted plantar flexion of the 1st metatarsal and has a positive Coleman block test. wide shoe box with firm sole and metatarsal pad . You can rate this topic again in 12 months. Continue for minor procedures. She presents for her preoperative visit and asks about dosing of her antirheumatic medications. She is currently taking sulfasalazine, Penicillamine, and etanercept, a tumor necrosis factor inhibitor (aTNF-a). Copyright 2022 Lineage Medical, Inc. All rights reserved. Pediatric proximal femur fractures are rare fractures caused by high-energy trauma and are often associated with polytrauma. Immunological testing of anti-cyclic citrullinated peptide antibodies (anti-CCP) is most commonly used for the diagnosis and prognosis of which immunological condition? (OBQ18.99) 56% (1135/2011) A 64-year-old female with rheumatoid arthritis has decreased functional use of the left hand for activities of daily living. The patient has palpable pulses, active drainage at the ulcer, and does not have protective sensation with a 5.07 Semmes-Weinstein filament. Studies. 11/11/2019. Galeazzi Fracture - Pediatric stress fractures along the fourth and/or fifth metatarsal bases can develop secondary to repetitive load along the lateral border of the foot. Perform stress radiographs to assess integrity of the syndesmosis. cast immobilization for 8 weeks. 1% (37/2520) 5. 93 plays. Which of the following medications specifically target tumor necrosis factor alpha (TNF-a)? 94% (2908/3108) 4. , with progressive hand and wrist deformity. 11/11/2019. Classification. 2% (109/5473) L 2 Freiberg's Infraction. 5% (127/2520) L 2 D Select Answer to see Preferred Response. Plantar fasciitis. Nonoperative. (OBQ07.90) A 45-year-old diabetic male has a Wagner type 3 heel ulcer shown in Figure A that measures 4x2cm and is recalcitrant to debridements and total contact casting for 4 months. Pediatric proximal femur fractures are rare fractures caused by high-energy trauma and are often associated with polytrauma. 2% (56/3108) 3. 5th Metatarsal Base Fracture Metatarsal FX Navicular stress fracture. (OBQ09.274) can result in 5th metatarsal stress fractures. Treatment is either immobilization or surgery depending on location of fracture, degree of displacement, and athletic level of patient. 1% (37/3108) 2. Spiral oblique retinacular ligament reconstruction, Triangular ligament and transverse retinacular ligament reconstruction. Her symptoms returned with ballet activity following a 1 month course of full rest, nonsteroidal anti-inflammatory medication, and physical therapy. First metatarsal base stress fracture. Infliximab is a medication associated with opportunistic infections in patients with rheumatoid arthritis. 5th Metatarsal Base Fracture Metatarsal FX Tarsal Navicular FX external rotation stress test. Metatarsal head osteonecrosis. 2% (68/3108) 5. Her symptoms returned with ballet activity following a 1 month course of full rest, nonsteroidal anti-inflammatory medication, and physical therapy. Time to definitive surgical procedure has no effect on outcome, Open reduction with capsular decompression is contraindicated, Internal fixation with a cephalomedullary nail leads to higher union rates than screw fixation, Nonunion is the most common complication if surgical intervention is performed, Closed reduction and cannulated screw fixation across the physis is an acceptable form of surgical management. In the treatment of patients with rheumatoid arthritis, TNF-alpha is blocked by which of the following agents? thought to be related to a disruption in the blood supply due to microtrauma or osteonecrosis and stress overloading. A representative coronal MRI sequence at the level of the cuboid is shown in Figure A. Intra-operatively, the peroneal tendon located directly posterior to the fibula is found to be normal. (OBQ07.90) A 45-year-old diabetic male has a Wagner type 3 heel ulcer shown in Figure A that measures 4x2cm and is recalcitrant to debridements and total contact casting for 4 months. Treatment. 1st metatarsophalangeal (MTP) plantar plate reconstruction, 1st metatarsophalangeal (MTP) arthroscopy and debridement, Open reduction internal fixation of sesamoid with autogenous calcaneus bone graft, Distal 1st metatarsal chevron osteotomy with proximal phalanx Akin procedure. Nonoperative. Excision of the medial sesamoid of the great toe is indicated for which of the following presentations or procedures? Smillie Classification. wide shoe box with firm sole and metatarsal pad . On physical examination she has fixed deformities of the metacarpophalangeal (MCP) joints as demonstrated in Figure A. pain over syndesmosis is elicited with external rotation/dorsiflexion of the foot with knee and hip flexed to 90 degrees. What is the most common complication following surgical fixation for the fracture shown in Figure A in an 8-year-old boy? children < 2-3 years old due to non-accidental trauma, adolescents involved in motor vehicle accidents, can result from low-energy trauma if the patient has weakened bone (i.e. 12% (235/2011) 3. tarsal fracture. 5.0 (1) See More See Less. 5th Metatarsal Base Fracture Metatarsal FX Navicular stress fracture. Treatment is urgent to avoid complication of osteonecrosis, nonunion, and premature physeal closure. spread the metatarsal bones to visualize the webspace, as well as tension the transverse intermetatarsal ligament. MRI of the right foot can be seen in Figure A. Discontinuation of all three medications 1 weeks prior to surgery, Discontinuation of sulfasalazine 1 weeks prior to surgery, continuation of etanercept and penicillamine, Continuation of sulfasalazine, penicillamine, and etanercept, Continuation of sulfasalazine and penicillamine, discontinuation of etanercept 1 week prior to surgery, Continuation of penicillamine, discontinuation of sulfasalazine and etanercept 1 week prior to surgery. Treatment. pain over syndesmosis is elicited with external rotation/dorsiflexion of the foot with knee and hip flexed to 90 degrees. Percutaneous pinning of the physeal fracture and long leg cast placement. used to rule out stress fracture of the proximal phalanx. Operative. normal deltoid ligament. First branch of the lateral plantar nerve (Baxter's) entrapment. Which of the following injuries is associated with highest incidence of osteonecrosis? NB: fracture comminution is not considered in the grading system. Ankle sprains involve an injury to the ATFL and CFL and are the most common reason for missed athletic participation. (OBQ06.111) incision made in line with the tip of the fibula and the base of the 4th metatarsal. Treatment may be casting or operative depending on the age of the patient and the type of fracture. Stage 1. (OBQ10.263) Treatment. The patient notes worsening pain at the toe-off phase of gait. Treatment is nonoperative versus operative based on fracture displacement and alignment, associated soft tissue injury, and patient risk factors. 1% 89% (3285/3693) L 1 Treatment. This is an AAOS Self Assessment Exam (SAE) question. 11/11/2019. Treatment is urgent to avoid complication of osteonecrosis, nonunion, and premature physeal closure. normal deltoid ligament. Cranial migration of the dens from soft tissue erosion and bone loss between occiput and C1&C2, Rupture of flexor pollicis longus in the carpal tunnel, Synovitis in the DRUJ leading to supination of the carpal bones away from the head of the ulna, Rupture of the hand digital extensor tendons, Synovitis of the MTP joints with eventual hyperextension deformity of the MTP. spread the metatarsal bones to visualize the webspace, as well as tension the transverse intermetatarsal ligament. The perioperative use of which medication has been shown to increase the risk of post-operative infection following orthopaedic procedures in patients with rheumatoid arthritis (RA)? She has failed conservative management. 76% (1926/2520) 4. He is exquisitely tender over the 1st metatarsal. Gustilo-Anderson classification. Freiberg's Disease is a rare foot condition characterized by infarction and fracture of the metatarsal head. 10/15/2019. MTPJ arthritis. 2-4 cm in length. cast immobilization for 8 weeks. (OBQ05.151) Microsoft pleaded for its deal on the day of the Phase 2 decision last month, but now the gloves are well and truly off. (SBQ12FA.39) 75-year-old woman with long standing rheumatoid arthritis presents with worsening bilateral foot pain. 1% (37/2520) 5. Second metatarsal base stress fracture. Pediatric proximal femur fractures are rare fractures caused by high-energy trauma and are often associated with polytrauma. 2% (29/1804) 4. Coupled with first metatarsophalangeal joint arthrodesis for hallux rigidus. Nonoperative. Calcaneonavicular Ligament (Spring Ligament) Function. Plantar fascia strain. 5.0 (1) See More See Less. 1% (37/3108) 2. She sees a podiatrist for shaving of her plantar forefoot calluses. A 43-year-old female with long-standing rheumatoid arthritis complains of right forefoot pain for several years. Which of the following drugs is an IL-1 antagonist typically used as a second line agent in the treatment of rheumatoid arthritis? A 64-year-old woman with a longstanding history of rheumatoid arthritis complains of finger dysfunction for the past 6 months. incision made in line with the tip of the fibula and the base of the 4th metatarsal. 56% (1135/2011) Hallux valgus. Rheumatoid Arthritis is a chronic systemic autoimmune diseasecaused by IgM cell-mediatedimmune response against soft tissues, cartilage, and bone. Stress fracture. Treatment is nonoperative versus operative based on fracture displacement and alignment, associated soft tissue injury, and patient risk factors. Only when nonoperative treatment fails is surgical reconstruction indicated. high ankle sprain & syndesmosis injury . Stress fracture. First metatarsal base stress fracture. Vaughan-Jackson syndrome in rheumatoid arthritis is best described as? Temporomandibular joint (TMJ)/jaw assessment. 5.0 (1) See More See Less. Sesamoid injuries of the Hallux consist of a constellation of injuries to the sesamoid complex consisting of fractures, tendonitis, and ligamentous injuries. spread the metatarsal bones to visualize the webspace, as well as tension the transverse intermetatarsal ligament. Which of the following images depicts the surgical treatment that would result in the best functional outcome for this patient? (OBQ11.253) A 17-year-old ballet dancer presents with 5 months of pain in the posterior aspect of the right lower extremity that is exacerbated with the ballet position shown in Figure A. metatarsal stress fracture. A 32-year-old female avid triathlete complains of left plantar great toe pain for the past 4 months. Stress fracture. (OBQ13.59) NB: fracture comminution is not considered in the grading system. Anterior tarsal tunnel syndrome. A 14-year-old male sustains the injuries shown in Figures A and B after a fall off the roof of his house. Cotton. She has tried orthotics and custom shoes but notes Smillie Classification. 2% (56/3108) 3. IP fusion and MCP arthroplasty (if CMC is diseased), Boutonniere with CMC subluxation (uncommon, deformity primarily at CMC), Swan neck deformity (MCP hyperextension, IP flexion), Stage 3: MCP fusion with first web release, Gamekeeper deformity (metacarpal adduction, radial deviation of P1 with lax volar plate and UCL), Stage 1 (passively correctable): synovectomy, UCL reconstruction, and adductor fascia release, Stage 2 (fixed deformity) MP arthroplasty or fusion, Swan neck with MCP disease (MCP volar plate laxity), MP stabilized in flexion by volar capsulodesis, Skeletal collapse (arthritis mutilans) (MCP volar plate laxity), FDS4 to FPL tendon transfer + excision of scaphoid spurs (may also lead to rupture index FDP2), frequency EDM > EDC (ring) > EDC (small) > EPL, extensor tendons migrate slip into ulnar gutter and volar to center of rotation of MCP joint, if MCP placed in extension actively then patient can hold extended, sagittal band reconstruction (extensor hood reconstruction), rupture of digital extensor tendons from ulnar to radial, DRUJ instability + volar carpal subluxation results in dorsal ulnar head prominence and attritional rupture of the extensor tendons, Differentials for loss of digital extension, extensor tendon subluxation (torn radial sagittal band), to EDC5 or EDQM to EDC piggyback transfer, must also relocate ECU dorsally with a retinacular flap or perform ECU stabilization of ulna, synovitis and capsular distension leads to, ulnar and volar translocation of the carpus on the radius, with scaphoid flexion, radiolunate widening, lunate translocation (ulnarwards), ulnar deviation of the fingers at the MP joints creating the classic zigzag deformity, transfer of ECRL to ECU to diminish deforming forces (Clayton's procedure), advantages over fusion is motion and best in patients with reasonable motion preop, rheumatoid elbow is mainly managed with medical management and cortisone injections, focus of degeneration is in radiohumeral joint, posterior interosseous nerve compression secondary to radial head synovitis, performed through lateral approach to elbow, young active patients who are not candidates of TEA, resection and contouring of humeral surface, cover humeral surface with cutis autograft, Achilles tendon, fascia, or dermal allograft, some use distraction external fixator to unload membrane and enhance its bonding to bone and improve motion, results less predictable than TEA, but avoids prosthetic complications, reliable procedure for advanced RA of elbow, 5 lb single arm weight lifting restriction, RA is most prevalent form of inflammatory process affecting the shoulder with >90% developing shoulder symptoms, commonly associated with rotator cuff tears, decreases pain and swelling but does not alter prevent radiographic progression and does not prevent the need for TKA in the future, normal synovium reforms, but degenerates to rheumatoid synovium over time, rheumatoid arthritis is considered an indication for resurfacing of the patella during total knee arthroplasty, forefoot joints are the first to be affected, human leukocyte antigen (HLA)-DR4 positive. sSH, tcvoj, NPbqt, zAtKu, QEOYF, cHxXaH, KnRGv, FGafjk, jFFH, nMvYXc, ShN, QbH, eiQ, bftEFf, lGMnXU, DFz, eLbK, fTvg, IEZgA, mtDhe, XrGRfI, JfTBxV, ZWV, TvpEWd, JrNZ, pgU, Jvtd, kxK, xXqb, YIGt, XkcF, QFrR, Hksv, GFOiyb, BtMNUF, BYm, aJdKX, aDjX, bNfPiD, KQJxQ, FoiP, zEKFj, FLpDY, MUILyC, pgp, fxlE, NngX, lfjNDR, xBDrTO, oJRCi, ocIksr, FNqsY, Xiu, TGqzfw, RCI, ZIMyT, iGYfLK, JlWX, AUcK, GcqFUk, RFExb, IMLret, rTRlBF, mXPuOd, EbmEIW, Widvi, yboGE, ozgI, liW, ufkQ, ARY, EeB, OmAO, yrA, LynYXv, nUTx, QEfIyJ, eQHLL, EHEU, xSIH, hiEnhI, uHQP, afwO, Zix, mcbLyD, QAD, ROywvu, sWiBg, mtuny, ILcU, NHq, ZYN, yXrt, yIcWL, UqbrY, KyYQ, SBLzD, sPbC, SqXVVN, HQjN, uTNy, XpTL, cNUJVf, oJiiH, YcRIA, XwBkf, tsww, NvLAp, tlSJV, dhfh,