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Wrist joint orthosis
Last reviewed: 03.07.2025
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Arthritis with severe pain syndrome leads to a significant decrease in the functional capacity of the hand (when performing everyday manipulations). In addition, due to the resulting instability, persistent arthritis can lead to persistent joint positions in a vicious position. Typical deformations in rheumatoid arthritis are volar subluxation and radial deviation of the wrist bones. Working orthosis on the wrist joint has been widely used in rheumatological practice for over 30 years. However, data on their effectiveness are contradictory.
[ Target
Stabilization of joint structures in a functionally advantageous position to improve function and reduce pain (during manual labor).
Methodology and aftercare
Using a wrist orthosis, the wrist joint is fixed in an extension position at an angle of approximately 30°, while the metacarpophalangeal and interphalangeal joint structures are left free.
Factors affecting efficiency: subluxations and degree of instability of joint structures; severity of muscle imbalance. It is very important to select the orthosis accurately and, if necessary, to make it individually.
Complications are not described.
Alternative methods
If the wrist orthosis is ineffective, surgical treatment is indicated: tendosynovectomy, partial radioulnar arthrodesis, resection arthroplasty of the ulnar head.