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Extensor tendon problems in rheumatoid arthritis

R L Wilson1, M C DeVito

  • 1Department of Surgery, University of Arizona, Phoenix, USA.

Hand Clinics
|August 1, 1996
PubMed
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Extensor tenosynovitis requires medical management or surgery to prevent tendon rupture. If rupture occurs, tendon reconstruction can restore function, especially for single tendon injuries, but associated joint issues must be considered.

Area of Science:

  • Orthopedic Surgery
  • Hand and Upper Extremity Surgery
  • Tendon Pathology

Background:

  • Extensor tenosynovitis is a frequent cause of upper extremity dysfunction.
  • Failure of medical management for tenosynovitis necessitates surgical intervention to prevent tendon rupture.
  • Tendon rupture significantly impacts upper extremity function and requires reconstructive procedures.

Purpose of the Study:

  • To outline the indications for tenosynovectomy in extensor tenosynovitis.
  • To discuss the principles of tendon reconstruction following extensor tendon rupture.
  • To emphasize the importance of evaluating associated wrist and MP joint pathology.

Main Methods:

  • Review of current literature and clinical guidelines for extensor tenosynovitis management.

Related Experiment Videos

  • Analysis of surgical techniques for tenosynovectomy and tendon reconstruction (transfer/graft).
  • Consideration of pre-operative, intra-operative, and post-operative management of related joint issues.

    • Main Results:

    • Preventative tenosynovectomy is crucial for unresolved extensor tenosynovitis to avoid rupture.
    • Tendon reconstruction offers a viable option for restoring function after rupture, particularly in cases involving a limited number of tendons.
    • Surgical treatment for single extensor tendon rupture aims to address the cause, prevent further damage, and repair the injury.

    Conclusions:

    • Early intervention for extensor tenosynovitis, including tenosynovectomy when indicated, is key to preventing tendon rupture.
    • Successful functional restoration after extensor tendon rupture depends on appropriate reconstruction techniques and consideration of associated pathologies.
    • Comprehensive management of wrist and MP joint abnormalities is integral to optimizing outcomes in patients with extensor tendon injuries.