A stable, painless wrist is a prerequisite for effective upper extremity function. Working in conjunction with a mobile shoulder and elbow, a wrist that is predictable in its ability and comfortable during the performance of activities completes the necessary upper extremity "functional check-list" for patients afflicted with advanced inflammatory arthropathies, like rheumatoid disease. Noticeable in its absence from this list is multiplanar wrist motion: a luxury, but not a necessity for the rheumatoid patient to pursue vocational and avocational tasks.
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