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Miyazaki AN, Fregoneze M, Santos PD, et al. ASSESMENT OF ARTHROSCOPIC ELBOW SYNOVECTOMY OUTCOMES IN PATIENTS WITH RHEUMATOID ARTHRITIS. Rev Bras Ortop. 2015;44(6):491-5doi: 10.1016/S2255-4971(15)30146-4.
Miyazaki, A. N., Fregoneze, M., Santos, P. D., da Silva, L. A., Ortiz, R. T., Mariz Pinto, E. C., & Checchia, S. L. (2009). ASSESMENT OF ARTHROSCOPIC ELBOW SYNOVECTOMY OUTCOMES IN PATIENTS WITH RHEUMATOID ARTHRITIS. Revista brasileira de ortopedia, 44(6), 491-5. https://doi.org/10.1016/S2255-4971(15)30146-4
Miyazaki, Alberto Naoki, et al. "ASSESMENT OF ARTHROSCOPIC ELBOW SYNOVECTOMY OUTCOMES IN PATIENTS WITH RHEUMATOID ARTHRITIS." Revista brasileira de ortopedia vol. 44,6 (2009): 491-5. doi: https://doi.org/10.1016/S2255-4971(15)30146-4
Miyazaki AN, Fregoneze M, Santos PD, da Silva LA, Ortiz RT, Mariz Pinto EC, Checchia SL. ASSESMENT OF ARTHROSCOPIC ELBOW SYNOVECTOMY OUTCOMES IN PATIENTS WITH RHEUMATOID ARTHRITIS. Rev Bras Ortop. 2015 Dec 07;44(6):491-5. doi: 10.1016/S2255-4971(15)30146-4. eCollection 2009 Jan. PMID: 27077058; PMCID: PMC4816824.
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Rev Bras Ortop. 2015 Dec 07;44(6):491-5. doi: 10.1016/S2255-4971(15)30146-4. eCollection 2009 Jan.

ASSESMENT OF ARTHROSCOPIC ELBOW SYNOVECTOMY OUTCOMES IN PATIENTS WITH RHEUMATOID ARTHRITIS.

Revista brasileira de ortopedia

Alberto Naoki Miyazaki, Marcelo Fregoneze, Pedro Doneux Santos, Luciana Andrade da Silva, Rodrigo Tormin Ortiz, Eduardo César Moreira Mariz Pinto, Sergio Luis Checchia

Affiliations

  1. Assistant Professor, Department of Orthopedics and Traumatology, School of Medical Sciences, Santa Casa de São Paulo; Head, Shoulder and Elbow Surgery Group.
  2. Assistant Professor, Department of Orthopedics and Traumatology, School of Medical Sciences, Santa Casa de São Paulo; Assistant, Shoulder and Elbow Surgery Group.
  3. Assistant, Shoulder and Elbow Surgery Group, Department of Orthopedics and Traumatology, School of Medical Sciences, Santa Casa de São Paulo.
  4. Intern, Shoulder and Elbow Surgery Group, Department of Orthopedics and Traumatology, School of Medical Sciences, Santa Casa de São Paulo.
  5. Associate Professor, Head of the Clinic, Department of Orthopedics and Traumatology, School of Medical Sciences, Santa Casa de São Paulo.

PMID: 27077058 PMCID: PMC4816824 DOI: 10.1016/S2255-4971(15)30146-4

Abstract

OBJECTIVE: To review functional outcomes of arthroscopic elbow synovectomy in patients with rheumatoid arthritis.

METHODS: Between May 1999 and December 2005, 15 patients were submitted to elbow synovectomy using an arthroscopic approach. Three cases were bilateral, totaling 18 elbows. There were two male and 13 female patients. The mean age was 44 years and five months. The mean time of previous diagnosis was six years and eight months. All patients reported preoperative pain, and on seven elbows, instability was present. The mean preoperative values for joint motion were: flexion, 118°; extension, -24°, supine, 80°, and; prone, 71°.

RESULT: The mean postoperative follow-up time was 39 months. The mean postoperative joint motion was 133° for flexion, -20° for extension, 84° supine, and 78° prone. On nine elbows (50%) an improved postoperative range of motion was reported, reaching functional levels. Twelve cases (66.6%) showed pain resolution or improvement to a level not interfering on the activities of daily life. According to Bruce's assessment method, the results were as follows: seven excellent, three good, two fair and six poor results, with an average of 85.5 points. Synovitis recurrence was found in six cases (33.3%), and evolution to osteoarthrosis was found in four (22.2%).

CONCLUSION: Arthroscopic elbow synovectomy in patients with rheumatoid arthritis leads to pain improvement in 66.6% of the cases; however, it does not cause a significant range of motion improvement.

Keywords: Arthritis; Arthroscopy; Elbow; Rheumatoid

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