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Orthosis for wrist joint
Last reviewed: 23.04.2024
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Arthritis with severe pain syndrome leads to a significant decrease in the functional capacity of the brush (when performing daily manipulations). In addition, due to the emerging instability, persistent arthritis can lead to permanent joint settings in a vicious position. Typical deformations in rheumatoid arthritis are a volatile subluxation and a radial deviation of the bones of the wrist. The working orthosis for the wrist joint is widely used in rheumatological practice for more than 30 years. However, data on their effectiveness are contradictory.
[Goal
Stabilization of the joint structures in a functionally advantageous position to improve performance and reduce pain (with manual labor).
Methods and subsequent care
With the help of the orthosis, the wrist joint is fixed in an unbent position at an angle of about 30 °, and the metacarpophalangeal and interphalangeal articular structures are left free.
Factors affecting the effectiveness: subluxations and degree of instability of the joint structures; the severity of muscle imbalance. It is very important to choose the orthosis correctly and, if necessary, to make it individually.
Complications are not described.
Alternative methods
If the orthosis of the wrist joint is ineffective, surgical treatment is indicated: tendosinectomy, partial radiolar arthrodesis. Resection arthroplasty of the head of the ulna.