Arthroscopic Synovectomy for the Rheumatoid Elbow

Kang, Hong Je; Park, Min Jong; Ahn, Jin Hwan; Lee, Sang Hak

doi:10.1016/j.arthro.2010.01.010

Cited by 44 publications

(24 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The mean Mayo Elbow Performance Score improved from 48 to 77 points at 2 years of follow-up but decreased at final follow-up, with a good or excellent score maintained in only 43 %. Clinically In a similar study, Kang et al reported on 26 elbows Larsen grade 3 or less followed for a mean of almost 3 years after arthroscopic synovectomy [8]. The mean VAS for pain improved from 6.5 to 31, and the flexion-extension arc improved from 98 to 113°.…”

Section: Outcomementioning

confidence: 81%

“…Currently, synovectomy is most commonly performed arthroscopically [8,9], and the rate of combined radial head resection/ synovectomy has decreased; the radial head is removed when it is clearly identified as a source of symptoms in the preoperative evaluation. In addition, the value of improving range of motion is now clearly recognized, and oftentimes patients undergo arthroscopic capsulectomy and recontouring of areas of bone impingement at the time of synovectomy.…”

Section: Arthroscopic Synovectomy and Joint Debridement Rationalementioning

confidence: 99%

See 1 more Smart Citation

Elbow rheumatoid elbow: surgical treatment options

Sánchez-Sotelo

2016

Curr Rev Musculoskelet Med

View full text Add to dashboard Cite

Rheumatoid arthritis (RA) is a chronic inflammatory disease characterized by peripheral polyarthritis. The elbow joint is estimated to be involved in 20 to 65 % of the patients with RA. The development of new pharmacologic agents and the adoption of early therapeutic interventions have translated into milder forms of polyarticular destruction. As a result, the traditional crippled rheumatoid patient has been replaced by rheumatoid patients with higher activity levels, higher expectations, and more demands on any reconstructive procedures performed. When nonoperative treatment is insufficient, surgery may be considered. Arthroscopic synovectomy has become the procedure of choice for rheumatoid patients with uncontrolled symptoms. Patients with more advanced joint destruction can be considered for elbow arthroplasty. Interposition arthroplasty may be considered for patients interested in avoiding the potential complications of elbow arthroplasty.

show abstract

Section: Outcomementioning

confidence: 81%

Section: Arthroscopic Synovectomy and Joint Debridement Rationalementioning

confidence: 99%

Elbow rheumatoid elbow: surgical treatment options

Sánchez-Sotelo

2016

Curr Rev Musculoskelet Med

View full text Add to dashboard Cite

show abstract

“…Patients with persistent, painful synovitis despite appropriate medical management and minimal articular cartilage destruction may benefit from an arthroscopic intervention and have shown excellent short-term outcomes [14,15]. These patients, however, have an increased risk of iatrogenic arthroscopic nerve injury because of the distorted anatomy and the thin, weak joint capsule.…”

Section: Synovectomymentioning

confidence: 95%

MRI–Arthroscopy Correlation of the Elbow: A Primer for Radiologists

et al. 2016

View full text Add to dashboard Cite

show abstract

“…Synovectomy has become the procedure of choice for rheumatoid patients with uncontrolled symptoms as it gives a good long-term outcome. 1,[30][31][32][33][34][35][36][37] Synovectomy in patients with RA is often reported as a successful procedure that leads to pain improvement in more than 65% of the cases; however, it may not improve the range of motion significantly. 38,39 Many authors have suggested synovectomy for mild to moderate disease and recommended it for the young and high-demand patients.…”

Section: Elbowmentioning

confidence: 99%