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most cases, it is impossible to diagnose PVNS based on its clinical presentation, so imaging studies (MRIs) are usually recommended. Standard treatment for PVNS includes early open or arthroscopic surgery with synovectomy. The operation aims to restore
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; but there is no consensus about the most appropriate surgical approach – either arthroscopic or with an open synovectomy. 9 The presence of disease recurrence or residual disease with subsequent surgical intervention can be locally devastating to
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blood and/or associated synovitis. 13 In this respect, point-of-care ultrasonography (POC-US) is essential ( Fig. 5 ). 14 , 15 Chronic synovitis will require a synovectomy: radiosynovectomy (RS) or arthroscopic synovectomy (AS). 16 Fig. 4
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reconstructive orthopaedic procedures ranging from synovectomy to prosthetic replacement. There is currently no disease-modifying therapy available to fill the gap between preventive measures and reconstructive procedures. Considering the pathogenic mechanisms
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extent that it is possible (given the level of destruction), joint-preserving surgery is preferred for younger patients. The goal of treatment is a synovectomy of the diseased synovium, as completely as possible, to prevent the destruction and loss of
Personalized Arthroplasty Society, Atlanta, Georgia, USA
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Personalized Arthroplasty Society, Atlanta, Georgia, USA
Clinique Orthopédique Duval, Laval, Quebec, Canada
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Personalized Arthroplasty Society, Atlanta, Georgia, USA
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). Depending on the severity of the disease, different elective procedures may be indicated such as arthroscopic or open synovectomy, arthrodesis and/or arthroplasty ( 13 ). A quick overview of these procedures is provided in this article. Synovectomy
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treatment may indicate the need for arthroscopic synovectomy. 14 Arthroscopic synovectomy in the shoulder controls bleeding and reduces pain, but it is less effective in improving articular function. 14 , 15 The elbow is the most frequently
Osteoarticular Surgery Research, Hospital La Paz Institute for Health Research – IdiPAZ (La Paz University Hospital – Autonomous University of Madrid), Madrid, Spain
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ligament remnant to the fibula using a harpoon. Table 1 Indications of ankle arthroscopy. Indications Synovitis (arthroscopic synovectomy) Anterior bony impingement (bony spur excision) Loose body (removal
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synovectomy with removal of loose bodies. 15 , 16 Open radical synovectomy of the elbow joint requires a circumferential approach through medial/lateral or anterior/posterior surgical procedures. 7 Currently, arthroscopic synovectomy with loose
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low complication rate. 26 Chow et al reported on a series of six patients with synovectomy due to stage I PTT dysfunction with no complications and no progression to stage II PTT dysfunction. 27 Khazen and Khazen performed PTT tendoscopies
