Risk factors and prophylactic tenosynovectomy for extensor tendon ruptures in the rheumatoid hand.
The cases histories of 51 rheumatoid arthritis patients (58 hands) were examined retrospectively with respect to the incidence of tendon rupture.
Factors that were associated with tendon rupture such as X-ray changes in the wrist joint and clinical findings of the hand preceding the tendon rupture were statistically analysed.
In a separate study, prophylactic tenosynovectomy and wrist synovectomy were performed on 42 joints in 35 patients who had two or more risk factors.
This group of patients was then analysed for subsequent tendon rupture and recurrent synovitis.
The risk factors for the extensor tendon rupture in the dorsal wrist joint were found to be :
dorsal dislocation of the distal ulna ;
a scallop sign on X-ray ;
and tenosynovitis persisting for at least 6 months.
Prophylactic surgery effectively prevented rupture of the tendons in patients who had two or more risk factors for extensor tendon rupture.
Mots-clés Pascal : Polyarthrite rhumatoïde, Main, Complication, Rupture tissu, Tendon, Muscle extenseur doigt, Epidémiologie, Incidence, Facteur risque, Synovectomie, Traitement, Prévention, Pronostic, Homme, Chronique, Membre supérieur, Poignet, Système ostéoarticulaire pathologie, Rhumatisme inflammatoire, Immunopathologie, Maladie autoimmune, Juxtaarticulaire pathologie, Traumatisme, Main pathologie, Chirurgie orthopédique, Ténosynovectomie
Mots-clés Pascal anglais : Rheumatoid arthritis, Hand, Complication, Tissue rupture, Tendon, Extensor digitorum muscle, Epidemiology, Incidence, Risk factor, Synovectomy, Treatment, Prevention, Prognosis, Human, Chronic, Upper limb, Wrist, Diseases of the osteoarticular system, Inflammatory joint disease, Immunopathology, Autoimmune disease, Juxtaarticular disease, Trauma, Disease of the hand, Orthopedic surgery
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0034453
Code Inist : 002B25I. Création : 31/05/1999.