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Definition Tendon repair is surgery to repair damaged or torn tendons. Alternative Names Repair of tendon Description Tendon repair can be performed using: Local anesthesia (the immediate area of the surgery is pain-free) Regional anesthesia (the local and surrounding areas are pain-free) General anesthesia (the patient is asleep and pain-free) The surgeon make a cut in the skin over the injured tendon. The damaged or torn ends of the tendon are sewn together. If the tendon has been severely injured, a tendon graft may be required. In this case, a piece of tendon from the foot, toe, or another part of the body is often used. If necessary, tendons are reattached to the surrounding tissue. The surgeon examines the area to see if there any injuries to nerves and blood vessels. When complete, the wound is closed. Why the Procedure Is Performed The goal of tendon repair is to bring back normal function of joints or surrounding tissues following a tendon laceration . After the Procedure Tendon repairs ca...
Definition Ankle pain involves any discomfort in one or both ankles. Alternative Names Pain - ankle; Sprain - ankle; Ankle sprain Common Causes Ankle pain is often due to an ankle sprain. An ankle sprain is an injury to the ligaments, which connect bones to one another. In most cases, the ankle is twisted inward, causing small tears in the ligaments. The tearing leads to swelling and bruising, making it difficult to bear weight on the joint. In addition to ankle sprains, ankle pain can be caused by: Damage or swelling of tendons (which join muscles to bone) or cartilage (which cushions joints) Infection in the ankle joint Osteoarthritis , gout , rheumatoid arthritis , Reiter syndrome , and other types of arthritis Problems in areas near the ankle that can cause you to feel pain in the ankle include: Blockage of blood vessels in the leg Heel pain or injuries Nerve injuries (such as tarsal tunnel syndrome or sciatica )
In the previous post, we discussed different types of surgeries which are used in patients with rheumatoid arthritis . This week I’d like to talk more about surgeries involving soft-tissue, specifically synovectomy, tendon repair, and carpal tunnel release.
What is a Synovectomy?
The synonium is a membrane surrounded a joint, usually only one or two cell layers thick, which produces synovial fluid to help lubricate the joint. In rheumatoid arthritis, the synovium becomes inflamed and may grow excessively, producing too much synovial fluid containing an enzyme that can eat away at the cartilage on the joint surface. Disease-modifying anti-rheumatic drugs (DMARDs) are used to control the abnormal growth of synovium.
If DMARDs do not work, a patient’s rheumatologist may suggest steroid injections into a joint or a needle aspiration of excess synovial fluid. If these strategies do not work, then the patient may be referred to an orth...
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