OBJECTIVES The aim of this study was to investigate the occurrence and significance of hand deformities during the first 10 years of RA. METHODS One hundred and eighty-three early RA patients were included in the study during 1985-89. Mean +/- S.D. of age at onset was 51.4 +/- 12.4 years, and mean duration of symptoms before inclusion 12 +/- 7 months; 64% were women. The patients were followe...

Objective: Nalebuff’s type I deformity of the rheumatoid thumb, which is the most common thumb deformity with rheumatoid arthritis, can be classified into three stages according to the range of motion of the thumb. However, a functional assessment for each stage has never been undertaken. Methods: The ranges of motion of the thumb metacarpophalangeal and interphalangeal joints were evaluated to...

621 occurred at the distal parts of the phalanges or metatarsal bones; most frequently, the first and second metatarsals. The third, fourth, and fifth toes were partially or completely synostotic (Blauth and Borisch [4]). Ogino and Kato [5] described six cases of cleft hand with a normal number of fingers as well. Some anomalies of the adjacent fingers were recognized in several cases, includin...

LEARNING OBJECTIVES After studying this article, the participant should be able to: 1. List five principles that guide synchronous repair of bilateral complete cleft lip and nasal deformity. 2. Explain how different growth rates for the principal nasolabial features are applied during primary repair. 3. Describe two approaches for positioning the alar cartilages to form the columella. 4. Discus...

Transverse facial clefts are rare deformities, these mostly occur as part of syndromes such as facial dysostosis and branchial arch syndrome. This is a report of a case of isolated, asyndromic bilateral facial cleft seen at a semi-urban specialist hospital. Congenital facial defects remain sources of mental and social stress to the families. Infanticide, perhaps a thing of the past in the devel...