Paper7-Results-Treatment-Synovitis-Wrist-PDMSe-Particles-J-Bone-Joint-Surg-Am-80-397-Murray(1998)

Paper7-Results-Treatment-Synovitis-Wrist-PDMSe-Particles-J-Bone-Joint-Surg-Am-80-397-Murray(1998)

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The PDF of the article you requested follows this cover page. This is an enhanced PDF from The Journal of Bone and Joint Surgery 1998;80:397-406. J Bone Joint Surg Am. PETER M. MURRAY and MICHAEL B. WOOD of Silicone Debris*{{dagger}} The Results of Treatment of Synovitis of the Wrist Induced by Particles This information is current as of January 8, 2009 Reprints and Permissions Permissions] link. and click on the [Reprints and jbjs.org article, or locate the article citation on to use material from this order reprints or request permission Click here to Publisher Information www.jbjs.org 20 Pickering Street, Needham, MA 02492-3157 The Journal of Bone and Joint Surgery
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Copyright 1998 by The Journal of Bone and Joint Surgery, Incorporated The Results of Treatment of Synovitis of the Wrist Induced by Particles of Silicone Debris *† BY PETER M. MURRAY, M.D.‡, AND MICHAEL B. WOOD, M.D.§, ROCHESTER, MINNESOTA Investigation performed at Mayo Clinic and Mayo Foundation, Rochester A BSTRACT: Synovitis of the wrist induced by par- ticles of silicone debris is a destructive inflammatory process. Many silicone-rubber carpal implants remain in place, and there are few reports regarding the treat- ment of this condition. The purpose of the present study was to examine the results of treatment of syno- vitis induced by particles of silicone debris. Twenty- eight patients were identified, with use of computerized indexing, as having been evaluated for silicone-induced synovitis between 1972 and 1992. Seventeen of the twenty-eight patients were included in the study. At the time of the latest follow-up, twelve of the seventeen patients had pain, thirteen of the fourteen patients for whom radiographs were available had evidence of os- teolysis typical of that associated with debris-induced synovitis, and eight of the seventeen patients reported difficulty with activities of daily living because of prob- lems with the wrist. Seven patients had been treated non-operatively, and ten had been treated operatively. With the small number of patients available for study, we could not detect a significant difference between the two groups with respect to pain, perceived limitation of motion, difficulty with activities of daily living, grip strength, or the total range of motion of the wrist. There was no significant difference between the two groups with re- gard to the age at the time of the initial procedure, the time to the diagnosis of the synovitis, and the duration of follow-up after treatment. There was no clear advan- tage to removal of the implant and débridement with or without arthrodesis of the wrist or other reconstruc- tive procedures. We recommend caution when a recon- structive or salvage procedure in the wrist is selected for a patient who has synovitis induced by particles of silicone debris.
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