Clinical Management of the Rheumatoid Hand, Wrist, and Elbow
This book provides comprehensive coverage of the management and related surgery of the rheumatoid hand, wrist, and elbow. It provides a much-needed, authoritative discussion of the epidemiology, surgical techniques, and outcomes of rheumatoid surgery. The
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Kevin C. Chung Editor
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Clinical Management of the Rheumatoid Hand, Wrist, and Elbow
Kevin C. Chung Editor
Clinical Management of the Rheumatoid Hand, Wrist, and Elbow
Editor Kevin C. Chung, MD, MS Comprehensive Hand Center Section of Plastic Surgery Department of Surgery The University of Michigan Health System Ann Arbor, MI, USA
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Library of Congress Control Number: 2016933477 Springer Cham Heidelberg New York Dordrecht London © Springer International Publishing Switzerland 2016 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper Springer International Publishing AG Switzerland is part of Springer Science+Business Media (www.springer.com)
To Chin-yin and William for their encouragement and support in making this textbook a reality
Preface
Caring for the rheumatoid patient has been an integral part of a hand surgeon’s practice. In the course of the last two decades, improvement in medical management by having innovative medications such as the biologic disease-modifying drugs has markedly decreased the rate of surgery for rheumatoid patients. These biologic medications are highly effective in decreasing synovitis and deformities that were commonly seen prior to the introduction of these medications. However, the success in applying biologics for rheumatoid arthritis does not diminish the role of surgeons in performing reconstructive procedures because some patients may be refractory to these medications, whereas others may have a delay in developing the typical deformities that invariably may still develop over time. Rheumatoid arthritis is a worldwide disease. Many countries cannot afford the use of these highly expensive biologic medications, and surgical expertise is still needed to restore hand function. Training in the rheumatoid hand is much needed in Eastern Europ
