What deformity is primarily considered in orthotic management for patients with Rheumatoid arthritis?

Ulnar drift is a common deformity associated with rheumatoid arthritis, particularly affecting the hands. This condition arises from the inflammatory processes in the joints, leading to the weakening of the ligaments and tendons. As a result, the fingers deviate laterally towards the ulnar side, causing significant functional impairments for the patient.

In orthotic management, addressing ulnar drift is crucial, as customized splints or braces can provide support and stabilization to the wrist and fingers, helping to realign the digits and prevent further deformity. This intervention could also enhance the patient’s ability to grasp and manipulate objects, thereby improving their overall quality of life.

In contrast, while wrist drop, claw hand, and mallet finger are all conditions that may require orthotic interventions at some point, they are not predominant deformities specifically linked to the progressive joint changes seen in rheumatoid arthritis. Each of these conditions results from different underlying issues unrelated to the characteristic joint involvement of rheumatoid arthritis, making ulnar drift the primary concern in this context.