“…Distension of the wrist joint by the synovium and the collagenases, cytokines, and metalloproteinases released from the synovium leads to attenuation and ruptures of the wrist joint ligaments, instability, and deformity [ 55 ]. The extracapsular extrusion of the diseased synovium also contributes to tendon rupture [ 56 ]. Synovectomy, even if recurrence may still happen, protects the joint from instability and deformity and the tendon from rupture.…”