Pictures of RA show damage in both knees, where OA typically affects only one.

Imaging studies in RA also show joint space narrowing, bone erosion, and joint deformity.

This damage occurs from inflammation in thesynoviallining(membrane lining the joints).

X-ray image of feet with bunions

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The inflamed synovium releases enzymes that digest bone and cartilage.

This article discusses what RA looks like in different joints.

In a healthy knee, these are cushioned by wedge-shaped pieces of cartilage (called themenisci).

X-ray of patient with shoulder pain

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Research suggests that shoulder impairment may be significant in the first 18 months of disease activity.

The first surgery is typicallyarthroscopic synovectomy, in which much of the synovium is removed.

If that’s unsuccessful, elbow-replacement surgery may be considered.

X-ray of elbow affected by rheumatoid arthritis

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About 450,000 Americans have a hip replaced each year.

Severe damage to cartilage, tendons, ligaments, and bone can cause joints to become unstable.

Joint instability can lead tosubluxation(partial dislocation) or, less often, dislocation.

Hip joint pain

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This is an uncommon but serious problem that needs to be corrected with surgery to avoid permanent damage.

Get our printable guide for your next healthcare provider’s appointment to help you ask the right questions.

Rheumatoid Arthritis and Systemic Disease

Rheumatoid arthritis doesn’t only affect the joints.

X-ray of dislocated shoulder

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This is typically symmetrical, with the same joints affected on both sides of the body.

Arthritis Foundation.When knee pain may mean arthritis.

2017;32(9):262838. doi:10.1016/j.arth.2017.05.001

American College of Rheumatology.Joint replacement surgery.

Doctor Discussion Guide Woman

Get our printable guide for your next healthcare provider’s appointment to help you ask the right questions.

American Society for Surgery of the Hand.Rheumatoid arthritis.

American Academy of Orthopaedic Surgeons: OrthoInfo.Rheumatoid arthritis of the foot and ankle.

2015;17(1):261. doi:10.1186/s13075-015-0777-0

Sanchez-Sotelo J.Elbow rheumatoid elbow: surgical treatment options.Curr Rev Musculoskelet Med.

2016;9(2):224231. doi:10.1007/s12178-016-9328-9

American Academy of Orthopaedic Surgeons: OrthoInfo.Inflammatory arthritis of the hip.

Simoni P.Optimisation of x-rays imaging techniques for the assessment of joint space.J Belg Soc Radiol.

2018;102(1):23. doi:10.5334/jbsr.1447

American Academy of Orthopaedic Surgeons.Rheumatoid arthritis of the foot and ankle.

Davies BM, Mowforth OD, Smith EK, Kotter M.Degenerative cervical myelopathy.BMJ.

2018;360:k186.

doi:10.1136/bmj.k186

Arthritis Foundation.Six ways arthritis can affect your eyes.

2021;11(10):1042. doi:10.3390/life11101042

Johns Hopkins Medicine.Dental tips for the rheumatoid arthritis patient.

2015;24(135):1-16. doi:10.1183/09059180.00008014

Rajeshwari B, Kumar S.Rheumatoid neuropathy: a brief overview.Cureus.

2023;15(1):e34127.

doi:10.7759/cureus.34127

Arthritis Foundation.How rheumatoid arthritis affects more than joints.