Abstract

Tarik El Mountassir*, Karim El Hammiri, Moncef Boufettal, Reda Allah Bassir, Mohamed Kharmaz,
Moulay Omar Lamrani and Mohamed Saleh Berrada

ABSTRACT

Wrist involvement in Rheumatoid Arthritis (RA) is frequent, variable in its presentation, heterogeneous in its evolution and has an important impact on the function of the affected hand. Surgery must be indicated within the framework of a structured medical and surgical approach that considers the whole patient. Surgical treatment at the wrist level is indicated in cases of resistant chronic pain, persistent articular synovitis, or chronic tenosynovitis and also in cases of painful limitation of supination, risk of complications due to wrist deformity and tendinous or neurological complications. The surgical goal in RA is to restore correct function but not necessarily normal anatomy, with the goal of achieving a painless, stable wrist, correctly positioned. We present the clinical observation of a 72-year-old patient operated by tendon and intra-carpal synovectomy, accompanied by an arthrodesis of the lower ulnar articulation following a metaphyseal resection of the lower extremity of the ulnar according to Sauve and Kapandji.