Evidence map›Paper›PMID 26448803›Full record

ArticleThe open orthopaedics journal2015

Radiocarpal and Midcarpal Instability in Rheumatoid Patients: A Systematic Review.

Eric E J Raven, Michel P J van den Bekerom, Annechien Beumer, C Niek van Dijk

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Article in The open orthopaedics journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Eric E J RavenDepartment of Orthopaedic Surgery and Traumatology of the Gelre Hospitals, Postbus 9014, 7300 DS Apeldoorn, The Netherlands.
Michel P J van den BekeromDepartment of Orthopaedic Surgery, Onze Lieve Vrouwe Gasthuis, Postbus 95500, 1090 HM Amsterdam, The Netherlands.
Annechien BeumerDepartment of Orthopaedic Surgery, Amphia Hospital, Postbus 90157, 4800 RL Breda, The Netherlands.
C Niek van DijkDepartment of Orthopaedic Surgery, Academic Medical Center, Postbus 22660, 1100 DD Amsterdam, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study was aimed at identifying the criteria for the diagnosis of Radiocarpal instability in rheumatoid arthritis RA).

methodsThe main databases were searched to identify studies describing the pathophysiology of Radiocarpal instability in patients with RA. We focussed on the epidemiology, radiographic parameters, criteria for instability and on treatment options. Results. In the search 108 articles were found, of these 12 studies were included for this review. Instability occurs in at an average of 35.2% of the rheumatoid wrists. The instability was found between 8 and 13 years after onset of rheumatoid arthritis. A strong correlation was found between instability, duration of RA and Larsen score. Several radiographic methods were described to evaluate Radiocarpal instability in RA. Several treatment options for instability in patients with RA are described. All with their own indications and limitations.

conclusionOn a standard AP radiograph deformity can be measured using the carpal height and the ulnar translation index of Chamay. This gives an indication for instability. For describing the deterioration of the joints the Larsen score is most used. If there are more radiographs in time the Simmen classification can be used. For real assessment of instability dynamic radiographs are needed. LEVEL OF EVIDENCE: Level IV.

Indexed as

Carpal instabilitycarpal ligamentsdiagnosisepidemiologypathophysiologyrheumatoid arthritistreatmentwrist

Identifiers

PMID26448803
PMCPMC4591907

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