JAMES C. SMALL, M.D., F.A.C.P.
One of the earliest deformities in atrophic arthritis occurs in the hands. Characteristically, it develops into an ulnar deviation of the fingers with contractures at the metacarpophalangeal joints. This so greatly reduces the ability to use the hands that it may be regarded as one of the most distressing deformities of the disease. The morale of patients usually suffers less from their inability to walk than it does from inability to use the hands in some time-consuming occupation which might tend to shorten the long waking hours. Since more than 90 per cent of patients with this disease are women,
SMALL JC. THE MECHANICS OF DEFORMITIES OF THE HANDS IN ATROPHIC ARTHRITIS, AND A DISCUSSION OF THEIR PREVENTION AND CORRECTION(THE MECHANICS OF DEFORMITIES OF THE HANDS IN ATROPHIC ARTHRITIS, AND A DISCUSSION OF THEIR PREVENTION AND CORRECTION*). Ann Intern Med. 1950;32:1087–1094. doi: 10.7326/0003-4819-32-6-1087
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Published: Ann Intern Med. 1950;32(6):1087-1094.
Rheumatoid Arthritis, Rheumatology.
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