R. John Naranja, Jr. and Kevin D. Plancher History and Clinical Presentation
A 38-year-old right hand dominant woman previously diagnosed with rheumatoid arthritis approximately 10 years prior to the current evaluation complains of pain and deformity in the index finger of her right hand. The pain has been progressive in nature, and functionally she has been having increasing difficulty performing activities of daily living that require any type of pinch strength. She has been conservatively managed with a course of occupational therapy, splints, and medical management, without significant relief. Patient denies any associated constitutional symptoms, numbness, paresthesias, or symptoms with cervical spine range of motion.
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