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Persistent pain in the wrist after conservative treatment is the major indication for a diagnostic wrist arthroscopy. Conservative treatment consists of wrist immobilization, oral NSAIDs and/or injection with corticoids. [11] Diagnostic wrist arthroscopy may also be indicated when other imaging techniques, such as MRI and ultrasonography, need
Synovectomy is the surgical removal of the synovial tissue surrounding a joint.This procedure is typically recommended to provide relief from a condition in which the synovial membrane or the joint lining becomes inflamed and irritated and is not controlled by medication alone.
Remitting seronegative symmetrical synovitis with pitting edema (or sometimes RS 3 PE) is a rare syndrome identified by symmetric polyarthritis, synovitis, acute pitting edema (swelling) of the back of the hands and/or feet, and a negative serum rheumatoid factor. [2]
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Infectious tenosynovitis in 2.5% to 9.4% of all hand infections. Kanavel's cardinal signs are used to diagnose infectious tenosynovitis. They are: tenderness to touch along the flexor aspect of the finger, fusiform enlargement of the affected finger, the finger being held in slight flexion at rest, and severe pain with passive extension.
These treatments provide temporary relief only. [3] [5] Bed rest, ice packs splints and exercise are ineffective. [1] A single case report of a patient with treatment-refractory IH describes the use of anakinra, an interleukin 1 receptor antagonist. At the first sign of any attack, a single 100 mg dose was given.
Synovitis is the medical term for inflammation of the synovial membrane. This membrane lines joints that possess cavities, known as synovial joints . The condition is usually painful, particularly when the joint is moved.
Enthesopathy can occur at the shoulder, elbow, wrist, carpus, hip, knee, ankle, tarsus, or heel bone, among other regions. Enthesopathies may take the form of spondyloarthropathies (joint diseases of the spine) such as ankylosing spondylitis , or psoriatic arthritis , plantar fasciitis , and Achilles tendinitis .