The Treatment of Nodose Tendinitis in the Rheumatoid Hand

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Abstract
Summary The authors compare the treatment of nodose tendinitis in the rheumatoid hand by (a) local corticosteroid injections and (b) surgery involving opening of the tendon sheath and possible removal of tendon nodules. They set down their principles for having recourse to either procedure. Cases of muscle balance disturbance should be treated in collaboration with a hand surgeon. If the impaired function is chiefly ascribable to changes in the flexor tendon, a series of cortisone injections seems indicated, but requires continuous control. If the results of local steroid injections are poor, surgery should be considered without unnecessary delay.

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