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  2. A 'Z deformity' may occur in rheumatoid arthritis. It is seen at the thumb and consists of hyperextension of the interphalangeal joint, and fixed flexion and subluxation of the metacarpophalangeal joint.
    gpnotebook.com/pages/haematology/z-deformity
    Z deformity of the thumb prevents pinching because the force of the tendons causes the thumb to collapse into MCP flexion and IP hyperextension. Thumb function is important for opposition, which is essential for pinches and grips. Therefore, this deformity can severely interrupt activities of daily living requiring opposition.
    www.physio-pedia.com/Biomechanics_of_Hand_a…
     
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