Journal of the Korean Society for Surgery of the Hand  2012;17(4):166-172

doi:10.12790/jkssh.2012.17.4.166

Open Synovectomy for Chronic Infectious Arthritis of the Wrist.

Sanglim LEE 1 ; Sueen SOHN ; Suk Ha JEON ; Yong Woon SHIN

Affiliations

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Keywords

Wrist; Chronic infectious arthritis; Arthrocentesis; Magnetic resonance imaging; Mycobacterium

Country

Republic of Korea

Language

Korean

Abstract

PURPOSE: We reported the results of open synovectomy for chronic infectious arthritis of the wrist. METHODS: Fifteen patients who had chronic infectious arthritis of the wrist and underwent open synovectomy were reviewed retrospectively baesd on preoperative periods, symptoms, results of laboratory tests, radiological findings including magnetic resonance imaging (MRI), hospitalization period, and others. Pain scale and subjective satisfaction were checked by phone interview. RESULTS: Average preoperative period was 96.1 days. Pain on motion and edema were observed in all cases. Four patients had positive bacterial cultures and three were identified as tuberculous infection. Signal changes of bones were observed in MRI of 10 patients. Osteomyelitis was found in 8 patients during the operation and bone resection or fusion should be performed in three. Average number of operation times was 1.53. CONCLUSION: When the patients show chronic swelling and pain on motion of the wrist, diagnostic work-ups for chronic infectious arthritis should be performed including arthrocentesis and MRI. Treatment including open synovectomy should be done immediately.