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Rheumatoid flexor tenosynovitis and rupture

D C Ferlic1

  • 1University of Colorado Health Science Center, USA.

Hand Clinics
|August 1, 1996
PubMed
Summary
This summary is machine-generated.

Rheumatoid tenosynovitis can cause wrist and finger issues like locking and tendon rupture. Surgical intervention, including flexor tenosynovectomy and nerve decompression, is crucial for treatment and prevention.

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Area of Science:

  • Hand surgery
  • Rheumatology
  • Orthopedics

Background:

  • Rheumatoid flexor tenosynovitis affects the wrist and fingers, leading to symptoms such as locking, reduced motion, nerve compression, and tendon rupture.
  • Rupture of the flexor pollicis longus and flexor digitorum profundus tendons (index finger) are common complications.

Purpose of the Study:

  • To outline the necessary surgical interventions for preventing and treating rheumatoid flexor tenosynovitis.
  • To emphasize the importance of tendon reconstruction and nerve decompression when indicated.

Main Methods:

  • Flexor tenosynovectomy is the primary surgical approach.
  • Nerve decompression is performed concurrently when nerve compression is present.
  • Tendon reconstruction is utilized for ruptured tendons.

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Main Results:

  • Surgical treatment effectively addresses locking, motion limitation, and nerve compression associated with rheumatoid flexor tenosynovitis.
  • Preservation of the pulley system is vital during surgical decompression of finger flexor tenosynovitis.

Conclusions:

  • Flexor tenosynovectomy combined with nerve decompression and tendon reconstruction is essential for managing rheumatoid flexor tenosynovitis at the wrist.
  • Decompression of finger flexor tendons, while preserving the pulley system, is the recommended treatment for tenosynovitis in the fingers.