Arthroscopic Complete Synovectomy of the Proximal Interphalangeal Joint of the Finger

被引：1
作者：
Lam, Kar Hei [1 ]
Lui, Tun Hing [1 ,2 ]
机构：
[1] North Dist Hosp, Dept Orthopaed & Traumatol, Hong Kong, Peoples R China
[2] North Dist Hosp, Dept Orthopaed & Traumatol, 9 Po Kin Rd, Hong Kong, Peoples R China
来源：
ARTHROSCOPY TECHNIQUES | 2023年 / 12卷 / 07期
关键词：
D O I：
10.1016/j.eats.2023.03.004
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
Rheumatoid arthritis is characterized by hypertrophic synovitis destroying the involved joints. If medical treatment fails to control the synovitis, synovectomy is a worthwhile prophylactic procedure that might help to delay further distention of the joint capsule and ligament. Synovitis of the proximal interphalangeal joint is usually performed by an open approach. The major complication is scar development around the interphalangeal joint, leading to considerable joint contracture. Arthroscopy of the proximal interphalangeal joint is a minimally invasive technique that can eliminate the risk of joint contracture associated with open surgery. The purpose of this Technical Note is to report the technical details of arthroscopic complete synovectomy of the proximal interphalangeal joint of the finger. This procedure is indicated in patients with rheumatoid synovitis of the proximal interphalangeal joint of the finger recalcitrant to medical treatment. It is contraindicated in case of an established boutonniere or swan-neck deformity, the presence of large dorsal synovial cysts, advanced degeneration of the joint, the presence of joint instability, or a fresh skin lesion near portals.
引用
收藏
页码：e1155 / e1159
页数：5
相关论文
共 14 条
  • [1] Bernstein Richard A, 2015, Instr Course Lect, V64, P281
  • [2] Arthroscopy of the proximal interphalangeal joint
    Borisch, N.
    [J]. OPERATIVE ORTHOPADIE UND TRAUMATOLOGIE, 2017, 29 (04): : 353 - 359
  • [3] Effectiveness of arthroscopic synovectomy in rheumatoid arthritis
    Carl, H. -D.
    Swoboda, B.
    [J]. ZEITSCHRIFT FUR RHEUMATOLOGIE, 2008, 67 (06): : 485 - +
  • [4] CHEN YC, 1979, ORTHOP CLIN N AM, V10, P723
  • [5] New Frontiers in Hand Arthroscopy
    Cobb, Tyson K.
    Berner, Stacey H.
    Badia, Alejandro
    [J]. HAND CLINICS, 2011, 27 (03) : 383 - +
  • [6] Jindal Gunjan, 2021, Maedica (Bucur), V16, P22, DOI 10.26574/maedica.2020.16.1.22
  • [7] Arthroscopic Interphalangeal Arthrodesis of the Thumb
    Lui, Tun Hing
    [J]. ARTHROSCOPY TECHNIQUES, 2016, 5 (06): : E1291 - E1296
  • [8] Ultrasonography in Early Rheumatoid Arthritis of Hand and Wrist Joints: Comparison with Magnetic Resonance Imaging
    Malla, Sundeep
    Vyas, Surabhi
    Bhalla, Ashu Seith
    Kumar, Uma
    Kumar, Sandeep
    Gupta, Arun Kumar
    [J]. INDIAN JOURNAL OF ORTHOPAEDICS, 2020, 54 (05) : 695 - 703
  • [9] Ultrasonography of Inflammatory and Structural Lesions in Hand Osteoarthritis: An Outcome Measures in Rheumatology Agreement and Reliability Study
    Mathiessen, Alexander
    Hammer, Hilde B.
    Terslev, Lene
    Kortekaas, Marion C.
    D'Agostino, Maria A.
    Haugen, Ida K.
    Bruyn, George A.
    Filippou, Georgios
    Filippucci, Emilio
    Kloppenburg, Margreet
    Mancarella, Luana
    Mandl, Peter
    Moller, Ingrid
    Mortada, Mohamed A.
    Naredo, Esperanza
    Delle Sedie, Andrea
    Sexton, Joseph
    Wittoek, Ruth
    Iagnocco, Annamaria
    Ellegaard, Karen
    [J]. ARTHRITIS CARE & RESEARCH, 2022, 74 (12) : 2005 - 2012
  • [10] Anatomical Basis for Arthroscopy of the Proximal Interphalangeal Joints
    Okamoto, Hideki
    Sekiya, Isato
    Mizutani, Jun
    Watanabe, Nobuyuki
    Otsuka, Takanobu
    [J]. JOURNAL OF HAND SURGERY-ASIAN-PACIFIC VOLUME, 2018, 23 (03) : 342 - 346
12