Ulnar deviation

Ulnar deviation, also known as ulnar drift, is a hand deformity in which the swelling of the metacarpophalangeal joints causes the fingers to become displaced, tending towards the little finger. Its name comes from the displacement toward the ulna. Ulnar deviation is likely to be a characteristic of rheumatoid arthritis, more than of osteoarthritis. Consideration should also be given to pigmented villonodular synovitis, in the setting of ulnar deviation and metacarpophalangeal synovitis.

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