Abstract
Extensor tenosynovitis is a common problem in patients with rheumatoid hands. The best treatment is prevention, either using medical management or surgical tenosynovectomy before tendon rupture occurs. Once a rupture has occurred, tendon reconstruction with a tendon transfer provides a reasonable chance of restoration of extensor function. There are complex mechanisms which induce tendon attrition rupture in patients with rheumatoid hands. Complete assessment of the patients along with a clear understanding of the progression of rheumatoid deformities is the key to successful reconstruction. Combined prophylactic dorsal synovectomy, ruptured tendon reconstruction, and distal ulnar resection were seemed effective treatment for resolving these problems. The surgical plan varied from patient to patient and was tailored accordingly. We present our experiences in treating five patients and we also reviewed the relative literature.
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