Millender L H, Nalebuff E A
Orthop Clin North Am. 1975 Jul;6(3):765-92.
The goal of preventative rheumatoid hand surgery is the eradication of the diseased synovium or tenosynovium before irreparable joint or tendon destruction occurs. Although there is general agreement that both dorsal and flexor tenosynovectomy are reliable and effective procedures to prevent the complications of tenosynovitis, the case for synovectomy is less well established. We have discussed the indications for both tenosynovectomy and synovectomy and described the surgical techniques used for dorsal tenosynovectomy and flexor tenosynovectomy in the wrist, palm, and digits. In addition, the treatment of both extensor and flexor tendon ruptures has been presented.
预防性类风湿性手部手术的目标是在不可修复的关节或肌腱破坏发生之前根除患病的滑膜或腱鞘。虽然人们普遍认为背侧和屈肌腱滑膜切除术都是预防腱鞘炎并发症的可靠且有效的手术，但滑膜切除术的情况尚不太明确。我们已经讨论了肌腱滑膜切除术和滑膜切除术的适应症，并描述了在腕部、手掌和手指进行背侧肌腱滑膜切除术和屈肌腱滑膜切除术所使用的手术技术。此外，还介绍了伸肌腱和屈肌腱断裂的治疗方法。
