The Elbow pp 48-56 | Cite as

Late Synovectomy of the Elbow Joint

  • A. Wanivenhaus
  • W. Bretschneider
Conference paper


In 21%–68% of cases, the elbow joint is involved in rheumatoid arthritis (RA) [1–4]. Only in rare cases, i.e., 1.7%–3% [5, 6], does the disease start at this joint. At the time of initiation of treatment, the initial stage of rheumatoid arthritis is long over [7] and, according to Gschwend [2], distinct signs of destruction can be observed in 70% of the patients. As the elbow is located in the middle of a series of joints, it is of considerable importance. Therefore, many procedures have been developed for its surgical treatment.


Rheumatoid Arthritis Ulnar Nerve Radial Head Elbow Joint Juvenile Rheumatoid Arthritis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Boyle JA, Buchanan WW (1971) Clinical rheumatology. Blackwell Sientific, OxfordGoogle Scholar
  2. 2.
    Gschwend N (1977) Die operative Behandlung der chronischen Polyarthritis mit einem Beitrag von Albert Böni, 2nd edn. Thieme, StuttgartGoogle Scholar
  3. 3.
    Rainer F, Siegmeth W (1985) Handbuch der Inneren Medizin (ed: H Mathies). Springer, Berlin Heidelberg New YorkGoogle Scholar
  4. 4.
    Porter BB, Richardson C, Vainio K (1974) Rheumatoid arthritis of the elbow: the results of synovectomy. J Bone Joint Surg 56B:427–437Google Scholar
  5. 5.
    Vojtisek O (1968) Einige klinische Beobachtungen und Laborbefunde mit Rücksicht auf die Frühdianose der primär chronischen Polyarthritis. Beitr Rheumatol 13:21–29PubMedGoogle Scholar
  6. 6.
    Fleming A, Benn RT, Corbett M, Wood PHN (1976) Early rheumatoid disease, part I and II. Ann Rheum Dis 35:357–364PubMedCrossRefGoogle Scholar
  7. 7.
    Marmor L (1972) Surgery of the rheumatoid elbow — follow-up study on synovectomy combined with radial head excision. J Bone Joint Surg 54A:573–578Google Scholar
  8. 8.
    Tulp NJA, Winia WPCA (1989) Synovectomy of the elbow in rheumatoid arthritis — long term results. J Bone Joint Surg 71B:664–668Google Scholar
  9. 9.
    Larsen A, Dale K, Eek M (1977) Radiographic evaluation of rheumatoid arthritis and related conditions by standard reference films. Acta Radiol 18:481–491Google Scholar
  10. 10.
    Ferlic DC, Clayton EP, Clayton ML, Freeman AC (1987) Elbow synovectomy in rheumatoid arthritis — long-term results. Clin Orthop 220:119–125PubMedGoogle Scholar
  11. 11.
    Vahvanen V, Eskola A, Peltonen J (1991) Results of elbow synovectomy in rheumatoid arthritis. Arch Orthop Trauma Surg 110:151–154PubMedCrossRefGoogle Scholar
  12. 12.
    Tressel W, Kähler G, Mohing W, Stephan E (1989) Ergebnisse der Synovektomie des Ellbogengelertkes bei chronischer Polyarthritis. Aktuel Probl Chir Orthop 37:57–60PubMedGoogle Scholar
  13. 13.
    Stein H, Dickson RA, Bentley G (1975) Rheumatoid arthritis of the elbow. Pattern of joint involvement, and results of synovectomy with excision of the radial head. Ann Rheum Dis 34:403–408PubMedCrossRefGoogle Scholar
  14. 14.
    Rymaszewski LA, Mackay I, Amis A A, Miller JH (1975) Long term effects of excision of the radial head in rheumatoid arthritis. J Bone Joint Surg 66B: 109–113Google Scholar
  15. 15.
    Brumfield RH, Resnick CT (1985) Synovectomy of the elbow in rheumatoid arthritis. J Bone Joint Surg 67A: 16–20Google Scholar
  16. 16.
    Waertel G, Wessinghage D, Zacher J (1989) Differentialindikation, OP-Technik und Nachbehandlungskonzept der Ellbogengelenkseingriffe beim Polyarthritiker. Aktuel Probl Chir Orthop 37:46–54PubMedGoogle Scholar
  17. 17.
    Siekmann W, Beyer W, Hagena FW, Weseloh G, Refior HJ (1989) Einfluß der Radius-köpfchenresektion auf das Ergebnis der Synovectomie des Ellbogengelenkes bei chronischer Polyarhritis. Aktuel Probl Chir Orthop 37:61–64PubMedGoogle Scholar
  18. 18.
    Copeland SA, Taylor JG (1979) Synovectomy of the elbow in rheumatoid arthritis — the place of excision of the head of the radius. J Bone Joint Surg 61B:69–73Google Scholar
  19. 19.
    Grimm J (1989) Spätsynovektomie des Ellenbogens und Resektion des Radiusköpfchens bei chronischer Polyarthritis. Z Orthop 127:77–81PubMedCrossRefGoogle Scholar
  20. 20.
    Eichenblat M, Hass A, Kessler I (1982) Synovectomy of the elbow in rheumatoid arthritis. J Bone Joint Surg 64A: 1074–1078Google Scholar
  21. 21.
    Taylor AR, Mukerjea SK, Rana NA (1976) Excision of the head of the radius in rheumatoid arthritis. J Bone Joint Surg 58B:485–487Google Scholar
  22. 22.
    Morrey BF, Askew LJ, An KN, Chao EY (1981) A bio mechanical study of normal functional elbow motion. J Bone Joint Surg 61A:872–877Google Scholar
  23. 23.
    Inglis AE, Ranawatt CS, Straub LR (1971) Synovectomy and debridement of the elbow in rheumatoid arthritis. J Bone Joint Surg 53A:652–662Google Scholar
  24. 24.
    Saito T, Koshino T, Okamoto R, Horiuchi S (1986) Radical synovectomy with muscle release for rheumatoid elbow. Acta Orthop Scand 57:71–73PubMedCrossRefGoogle Scholar
  25. 25.
    Wilson DW, Arden GP, Ansell BM (1973) Synovectomy of the elbow in rheumatoid arthritis. J Bone Joint Surg 55B:106–111Google Scholar
  26. 26.
    Lindau LA, Winia WP, Korst JK (1983) Synovectomy of the elbow in rheumatoid arthritis. Acta Orthop Scand 53:935–937Google Scholar
  27. 27.
    Rymaszewski L, Mackay I, Amis A, Miller JH (1984) Long term effects of the excision of the radial head in rheumatoid arthritis. J Bone Joint Surg 66B:66–109Google Scholar
  28. 28.
    Gschwend N, Steiger JU (1986) Ellbogengelenk. Orthopäde 15:304–312PubMedGoogle Scholar
  29. 29.
    Weseloh G (1989) Einführung. Aktuel Probl Chir Orthop 37:106–119Google Scholar
  30. 30.
    Torgerson WR, Leach RE (1970) Synovectomy of the elbow in rheumatoid arthritis. J Bone Joint Surg 52A:371–375Google Scholar
  31. 31.
    Böhler N, Czurda R, Schwägerl W, Endler M (1979) Erweiterte Ellenbogen-Synovektomie bei primärer chronischer Polyarthritis. Fortschr Med 27:1179–1184Google Scholar
  32. 32.
    Gschwend N (1980) Surgical treatment of rheumatoid arthritis. Thieme, StuttgartGoogle Scholar
  33. 33.
    Keret D, Porter KM (1984) Synovial cyst and ulnar nerve entrapement. Clin Orthop Relat Res 188:213–216PubMedGoogle Scholar
  34. 34.
    Ishikawa H, Hirohata K (1990) Posterior interosseous nerve syndrome associated with rheumatoid synovial cysts of the elbow joint. Clin Orthop Related Res 254:134–139Google Scholar
  35. 35.
    Mackay I, Friterald B, Miller JH (1982) Silastic radial head prosthesis in rheumatoid arthritis. Acta Orthop Scand 53:63–66PubMedGoogle Scholar
  36. 36.
    Wessinghage D (1986) Makropathologische Veränderungen bei chronischen Polyarthritiden — Grundlagen einer neuen Phaseneinteilung des Krankheitsverlaufes. Z Orthop 124:437PubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1996

Authors and Affiliations

  • A. Wanivenhaus
  • W. Bretschneider

There are no affiliations available

Personalised recommendations