Document Detail

Technique of dorsal synovectomy on the rheumatoid wrist.
MedLine Citation:
PMID:  1695517     Owner:  NLM     Status:  MEDLINE    
Synovectomy is the basic operation on the rheumatoid wrist. Dorsal synovectomy of the wrist is never performed in isolation. It is always combined with extensor tenosynovectomy, synovectomy of the distal radio-ulnar joint, and surgical stabilization of the wrist. Early wrist synovectomy is ideally performed when the disease is largely confined to the soft tissues and where the overall alignment of the wrist is preserved. Careful reconstruction of the soft tissues following synovectomy is paramount in maintaining or restoring wrist stability. The satisfactory long term results of early wrist synovectomy have encouraged an expansion of the indications particularly to include the more advanced cases. In such cases additional bony surgery can be combined with the synovectomy to allow the realignment and stabilization of the wrist, so avoiding, in the majority of cases, the need for arthroplasty or wrist fusion.
R Tubiana
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annales de chirurgie de la main et du membre supérieur : organe officiel des sociétés de chirurgie de la main = Annals of hand and upper limb surgery     Volume:  9     ISSN:  1153-2424     ISO Abbreviation:  Ann Chir Main Memb Super     Publication Date:  1990  
Date Detail:
Created Date:  1990-08-30     Completed Date:  1990-08-30     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9011039     Medline TA:  Ann Chir Main Memb Super     Country:  FRANCE    
Other Details:
Languages:  eng     Pagination:  138-45     Citation Subset:  IM    
Institut Français de la Main, Paris, France.
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MeSH Terms
Arthritis, Rheumatoid / surgery*
Carpal Bones / surgery
Radius / surgery
Synovial Membrane / surgery*
Tendons / surgery
Ulna / surgery
Wrist Joint / surgery*

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