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J Am Acad Orthop Surg, Vol 11, No 2, March/April 2003, 100-108.
© 2003 the American Academy of Orthopaedic Surgeons
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Surgical Management of the Rheumatoid Elbow

Jeffrey I. Kauffman, MD, Andrew L. Chen, MD, MS, Steven Stuchin, MD and Paul E. Di Cesare, MD

Dr. Kauffman is Attending Physician, Sacramento Knee & Sports Medicine, Sacramento, CA. Dr. Chen is Chief Resident, Orthopaedic Surgery, NYU–Hospital for Joint Diseases Orthopaedic Institute, New York, NY. Dr. Stuchin is Associate Professor, Orthopaedic Surgery, NYU–Hospital for Joint Diseases Orthopaedic Institute. Dr. Di Cesare is Associate Professor, Orthopaedic Surgery and Cell Biology, NYU-Hospital for Joint Diseases Orthopaedic Institute.

Reprint requests: Dr. Di Cesare, 301 East 21st Street, New York, NY 10003.

Many patients with rheumatoid arthritis demonstrate elbow involvement that may limit upper extremity function, usually within 5 years of disease onset. Initial management consists of nonsurgical measures that address synovitis and capsular inflammation in an effort to diminish pain and maintain elbow range of motion. Disease progression may result in articular damage and ligamentous compromise, causing increased symptoms, elbow instability, and functional debilitation. For patients unresponsive to nonsurgical management, open or arthroscopic synovectomy may provide relief of symptoms. For those with more advanced disease, elbow arthroplasty is a reasonable alternative. Advancements in prosthetic technology and surgical techniques allow elbow arthroplasty to be reliably performed in patients with severe rheumatoid arthritis of the elbow.




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N. Tanaka, H. Sakahashi, K. Hirose, T. Ishima, and S. Ishii
Arthroscopic and Open Synovectomy of the Elbow in Rheumatoid Arthritis
J. Bone Joint Surg. Am., March 1, 2006; 88(3): 521 - 525.
[Abstract] [Full Text] [PDF]


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