Arthroscopic synovectomy of the wrist
Authors:
J. Pilný 1; J. Krejzová 2; M. Řihořková 3; M. Jindra 1; V. Báča 4
Authors‘ workplace:
Ortopedické oddělení, Krajská nemocnice Pardubice, 1Fakulta medicínských studií, Univerzita Pardubice, 2Soukromá revmatologická ambulance, Hradec Králové, 3Revmatologická ambulance, Nemocnice s poliklinikou Havířov, 4Edukační centrum pro anatomii a endosk
1
Published in:
Čes. Revmatol., 15, 2007, No. 3, p. 142-145.
Category:
Original Papers
Overview
Arthroscopic synovectomy of the wrist is a minimally invasive surgery that may halt the structural progression of the wrist. Moreover, affection of soft tissue structures that is not detectable by other examinations can thus be found. The authors evaluate the results of 23 arthroscopic synovectomies of the wrist in 18 patients. Affection of interosseous and capsular ligaments was found in 48% of patients. One ligament was affected in 35% and two were affected in 13% cases. Fifty-two percent of patients had unaffected ligaments. Triangular fibrocartilage complex was affected in 65% of patients. Using visual analogue scale, seventy-five percent of patients had no complaints 12 months after the surgery. No clinical signs of local inflammation and improved range of movement were found in 85% and 48% of patients, respectively. Improvements in patient’s subjective measures were found in 85% of patients after 12 months. Radiographic evaluation assessed 12 months after the surgery showed a worsened stage according the Larsen classification in 27% of cases. In all of these worsened cases, affection of interosseous ligaments was demonstrated during arthroscopy.
Key words:
synovectomy, wrist, arthoscopy
Sources
1. Pavelka K, a kol. Klinická revmatologie (Praha), Galén 2003.
2. Bain GI, Roth JH. The role of arthroscopy in arthritis. Hand Clin 1995; 11: 51–58.
3. Cope R. Surgery of the rheumatoid wrist: postoperative appearance and complications. Skeletal Radiol 1989; 17: 576.
4. Wipple TL. Arthroscopic surgery-The Wrist. Lippincott, 1992; Philadelphia.
5. Youm Y, McMurtry RZ, Flatt AE, Gillespie TE. Kinematics of the Wrist. J Bone Joint Surg 1978; 60 A: 423–431.
6. Ira D, Čižmář I, Mašek M, Bučil J, Šprláková A. Scapholunátní disociace – poranění scapholunátního vazu. Čas Lék čes 2006; 288–291.
7. Hart R, Janeček M, Višňa P, Čižmář I. Poúrazová periskafoidní artróza a možnosti jejího řešení. Slov chirurg 2002; III: 19–23.
8. Palmer A K. Triangular fibrocartilage complex lesions: a classification. J Hand Surg 1989; 14A: 594–606.
9. Pederzini L, Luchetti R, Soragni O. Evaluation of the triangular fibrocartilage complex tear by arthroscopy, arthrography, ang magnetic resonance imaging. Arthroscopy 1992; 8: 191–197.
10. Pilný J, Čižmář I, a kol. Chirurgie zpěstí. Praha, Galén 2006.
11. Kerschbaumer F, Koydl G, Herresthal J. Artroskopische Synovectomie des rheumatischen Handgelenks. Arthroskopie 1997; 10: 31–35.
Labels
Dermatology & STDs Paediatric rheumatology RheumatologyArticle was published in
Czech Rheumatology
2007 Issue 3
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