A person with a long history of polyarticular rheumatoid arthritis is experiencing severe,dominant-side elbow pain that is interfering with personal grooming,light housework,and work-related responsibilities as a computer programmer.In addition to pain,physical findings include persistent synovitis despite ongoing medical management,limited elbow ROM,and complete loss of the joint space of the humeroulnar (HU)and humeroradial (HR)joints.Given these findings,this person is most likely a candidate for which of the following surgical procedures to relieve pain and improve daily function?
A) Synovectomy
B) Excision of the radial head coupled with prosthetic implant
C) Total elbow arthroplasty
D) Arthrodesis of the elbow

Question

Quizplus · Accepted Answer

The person's persistent synovitis, limited range of motion, and complete loss of joint space in the humeroulnar and humeroradial joints suggest severe and irreversible damage to the elbow joint. Total elbow arthroplasty is the most appropriate surgical procedure to relieve the person's pain and improve their daily function. Synovectomy may be considered for milder cases of synovitis, while excision of the radial head with prosthetic implant is typically reserved for cases of isolated radial head fractures or instability. Arthrodesis of the elbow, which involves fusing the joint, is a last resort due to the loss of motion it entails.

A Person with a Long History of Polyarticular Rheumatoid Arthritis