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Important points: 1-Extensor tendon subluxation or dislocation can trigger other tendons dislocation or subluxation, 2-The head of metacarpal bones will migrate dorsally==> flexion deformity, 3-Ulnar dislocation of the extensor tendon==> adduction at MCP J==> ULNAR DEVIATION, 4-Lack of MCPJ Extension ==> over-activity of interensic muscles of hand==> hyper-extension of PIP joints==> swan neck deformity, 5- Abnormal Biomechanics==> deformity despite control of RhA activity by medicines, 6-When you do MSK US assessment of RhA patient, don't forget to do dynamic scan, 7- Abnormal biomechanics due to inflammatory attenuation of ligaments==> red flag of future damage.

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