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Journal of Bone and Joint Surgery - British Volume, Vol 85-B, Issue 7, 1011-1015.
doi: 10.1302/0301-620X.85B7.14195  
Copyright © 2003 by British Editorial Society of Bone and Joint Surgery
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Arthroscopic synovectomy of the wrist in rheumatoid arthritis

M. J. Park, MD, Associate Professor; J. H. Ahn, MD, Professor; and J. S. Kang, MD, Senior Resident

Department of Orthopaedic Surgery, Samsung Medical Centre, Sungkyunkwan University School of Medicine, 50 Ilwon-dong, Kangnam-ku, Seoul 135-710, Korea.

Correspondence should be sent to Dr M. J. Park.

We analysed the results of arthroscopic synovectomy of the wrist in 18 patients (19 wrists) with rheumatoid arthritis who had not responded to conservative treatment. The patients’ symptoms were assessed using visual analogue scales for pain and satisfaction. Standard posteroanterior radiographs which were taken pre-operatively and at final follow-up were analysed using a modified Larsen scoring system (normal, 0; total destruction, 40). The mean follow-up period was 29.2 months (24 to 45). The mean pre-operative pain score was 8.58 which decreased to 3.58 one year after surgery and increased again to 4.42 at final follow-up. This suggested a gradual increase in pain with time. The mean satisfaction score was 6.26. The mean modified Larsen’s score was 9.8 pre-operatively and 13.9 at final follow-up, which demonstrated the slow progression of degenerative changes.

Arthroscopic synovectomy for rheumatoid arthritis of the wrist allows effective pain relief and high patient satisfaction, although any prolonged benefits will require long-term follow-up.




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 J Am Acad Orthop SurgHome page
S. R. Papp, G. S. Athwal, and D. R. Pichora
The Rheumatoid Wrist
J. Am. Acad. Ortho. Surg., February 1, 2006; 14(2): 65 - 77.
[Abstract] [Full Text] [PDF]


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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General