synovitis

Rheumatoid Fingers

ConditionsBoutonniere Fingers

 

1.  PIPJ Synovitis

- synovectomy via dorsomedial approach

2.  Flexor tenosynovitis

- may cause trigger finger

- trial HCLA

- remove synovits but don't release A1 pulley

- will worsen ulna drift

3.  DIPJ

- rarely affects

SAPHO

Definition

 

Clinical syndrome characterised by

 

Synovitis

Acne

Pustulosis

Hyperostosis

Osteitis

 

Aetiology

 

Unknown

- high prevalence of HLA B-27 antigen

- similarities to seronegative spondyloarthropathy 

 

Four types