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Team Approach: Role of Medical and Surgical Management in Rheumatoid Arthritis of the Hand and Wrist

O’Shaughnessy, Maureen A. MD1; Kannas, Stephanie CHT, OT, OTD1; Ernste, Floranne MD1; Rizzo, Marco MD1

doi: 10.2106/JBJS.RVW.18.00196
Team Approach Review Articles

  • » Treatment of the patient with rheumatoid arthritis affecting the hand and wrist can be a challenging endeavor. Optimal management for best outcomes includes careful collaboration between providers managing the medical treatment of the disease, therapists, hand surgeons, and the patient.
  • » In this review, we present a challenging clinical scenario with input from key voices from various medical fields to provide a balanced and unbiased diagnosis and treatment recommendation for a patient with complex rheumatoid pathology affecting her hand and wrist.

1Departments of Orthopedic Surgery (M.A.O. and M.R.), Physical Medicine and Rehabilitation (S.K.), and Rheumatology (F.E.), Mayo Clinic, Rochester, Minnesota

E-mail address for M. Rizzo:

Investigation performed at the Mayo Clinic, Rochester, Minnesota

Disclosure: The authors indicated that no external funding was received for any aspect of this work. On the Disclosure of Potential Conflicts of Interest forms, which are provided with the online version of the article, one or more of the authors checked “yes” to indicate that the author had other relationships or activities that could be perceived to influence, or have the potential to influence, what was written in this work (

Copyright © 2019 by The Journal of Bone and Joint Surgery, Incorporated
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