Wrist Synovitis
Often coinciding with carpal tunnel syndrome, (link to Other Upper Limb Conditions/Hand/Medical
Conditions/Carpal Tunnel) wrist synovitis is the inflammation of the synovial membrane lining the joints in the wrist - placing compression of the median nerve as it travels through the carpal tunnel.
Causing pain and discomfort during wrist movement, this condition may also present as a Ganglion cyst.
Risk Factors
While wrist synovitis most often affects those suffering from Rheumatoid Arthritis, it has also been
diagnosed in young patients involved in sports, which are demanding on the wrist joint such as gymnastics and tennis.
Diagnosis and Treatment
Following a thorough review of the patient's medical history, a physical examination and assessment of the type of pain experienced, magnetic resonance imaging (MRI)
will help identify the areas of vulnerability and confirm wrist synovitis.
The severity of the condition and other health factors will determine the treatment. Wrist synovitis may be treated with glucocorticoid injections into the joint. When
a wrist ganglion and severe degenerative conditions exist despite the use of antirheumatic drugs (DMARDs) and other conservative treatment, a Synovectomy may be indicated.
A Synovetomy is done to remove the inflamed joint tissue (synovium) responsible for the pain, irritation and swelling. It may be done arthroscopically or open surgery.
Physical therapy begins one to two weeks following a procedure and focuses on restoring range of motion. |
