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Arthroscopic synovectomy for the rheumatoid elbow
Hong Je Kang1, Min Jong Park, Jin Hwan Ahn
1Department of Orthopedic Surgery, Wonkwang University, Iksan, South Korea.
Summary
Arthroscopic synovectomy effectively reduced pain and improved elbow function in rheumatoid arthritis patients. This minimally invasive procedure offers a feasible option for managing rheumatoid elbow symptoms.
Area of Science:
- Orthopedic Surgery
- Rheumatology
- Arthroscopy
Background:
- Rheumatoid elbow involves synovitis, leading to pain and limited function.
- Conservative treatments may not adequately address persistent synovitis.
Purpose of the Study:
- To detail an arthroscopic technique for complete elbow joint synovectomy.
- To evaluate the clinical outcomes of this procedure in rheumatoid elbow patients.
Main Methods:
- Arthroscopic synovectomy performed on 26 rheumatoid elbows (Larsen grade 3 or less).
- Procedure involved total synovectomy across anterior, posterior, and radiocapitellar compartments.
- Evaluated pain (VAS), range of motion, and function (Mayo Elbow Performance Score) at mean 33.9 months follow-up.
Main Results:
- Mean pain (VAS) decreased from 6.5 to 3.1.
- Mean flexion arc increased from 98.1 to 113.3 degrees.
- Mean Mayo Elbow Performance Score improved from 58.5 to 77.4; 19/26 results were rated good or excellent.
Conclusions:
- Arthroscopic synovectomy is a technically feasible and effective treatment for rheumatoid elbow.
- The procedure alleviates pain, enhances range of motion, and improves functional scores.
- While generally successful, recurrent synovitis can occur in a subset of patients.
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