Partial Synovectomy Research Articles

A Case Report of Long-term Recurrent Pigmented Villonodular Synovitis of the Knee Joint

The patient, a 55 years old farmer, noticed the pain of the knee joint and hydrops (sometimes bloody) 22 years ago, and operated 10 years ago in our clinic. It was partial synovectomy and then irradiation was additioned. The result of patho-histological study was proved to be PVS. But since immediately after discharge the nodule recurred and enlarged gradually.10 years later the nodule grew to the size of fist and some other nodules was also recurred around the knee with diffuse tumorous swelling of synovium. Total synovectomy was done from both anterior and posterior approach. On patho-histological study there was proliferation of round synovial cells and histiocytic oval cells which contained the hemosiderin pigment. Multi-nucleated giant cells and foam cells were also found.This case was PVS, we supposed, similar as Jaffe insisted.Postoperative couse was regular, but we must observe it carefully from now on.

A Case of osteochondromatosis of the Hip

A case of osteochondromatosis of the hip is presented. A 56-year-old man was first seen in November 1978, complaining of pain and stiffness of the right hip of ten years' duration. There were moderate thigh muscular atrophy and some restriction of the hip movement. Surgical explosure was made through a Hütter approach, and ten pieces of free bodies were removed from the joint with partial synovectomy. Eleven months after operation, the patient was very pleased with his surgical result, because of no pain and a little restriction of the hip movements only. There were no recurrence of loose bodies and no evidence of osteoarthritis of the hip joint on X-rays.

Synovial Chondromatosis and Instability of the Proximal Tibiofibular Joint

A patient with synovial chondromatosis involving both posterior compartments of the right knee and proximal tibiofibular joint had continued pain and weakness after partial synovectomy. The "Helfet Test" for proximal tibiofibular joint instability was positive; the fibular head was prominent and tender. Following excision of the proximal fibula, the patient was symptom free. This case demonstrates that it is essential to evaluate all joints involved with a disease process prior to surgical intervention.

Studies in experimental synovectomy.

SummaryVarious types of partial synovectomy were performed on the joint of 46 rabbits. The analysis comprised histological, vital microscopic and microangiographic examination at various intervals after the operation. The investigation showed that practically complete regeneration may be expected after operations performed in such a way as to avoid trauma as far as possible. After ordinary traumatic synovectomy regeneration also occurs but the granulation tissue is dominated by fibrous connective tissue with wide, tortuous blood vessels with slow corpuscular flow and a pattern not seen in normal animals. These vessels appear to be much more sensitive to caloric stimuli than normal synovial vessels.A relatively new clinical method with intra-articular injection of osmium and cortisone (chemical synovectomy) was studied experimentally. The main effect of this method appears to be destruction of the intimai layer of the synovial tissues but with subsequent regeneration of a synovial tissue differing but litt...

COMPRESSION NEUROPATHY OF THE MEDIAN NERVE IN THE CARPAL TUNNEL

• The median nerve as it leaves the forearm passes through the carpal tunnel in order to reach the hand. Within the tunnel it is subject to compression by neighboring structures because of space limitations imposed by the transverse carpal ligament. The resulting symptoms have been studied in 71 patients; they were bilateral in 39 and unilateral in 32. The right hand was affected in 23 and the left hand in only 9 of the unilateral cases. Seventeen patients were men. Diagnosis depended on sensory findings (pain and paresthesias) limited to the distribution of the median nerve in the hand, on prompt exacerbation of symptoms when the wrist was held in the flexed position, and on the production of tingling in the fingers by percussion over the carpal tunnel. Atrophy of thenar muscles was present in half the cases. Etiological and pathological findings favored the conception of this disorder as some type of localized rheumatic disease. Immobilization of the wrist by a splint and administration of hydrocortisone relieved the symptoms in many cases. Surgery, the simple sectioning of the transverse carpal ligament, was carried out on 49 wrists in 37 patients and generally sufficed to decompress the nerve and relieve symptoms. In three instances, however, a partial synovectomy had to be done in order to obtain adequate decompression.

Partial synovectomy of the knee joint.

Partial synovectomy of the knee joint.

Partial Synovectomy of the Knee-Joint

Partial Synovectomy of the Knee-Joint