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Removal of a tendon sheath hygroma/extensor tendon synovectomy with retinaculum plasty

hand surgery

readingtime 04:55 min.

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Anatomy Perioperative management Technique Complications Evidence Total Video

Incision

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Arcuate skin incision over the swelling on the back of the hand and sharp transection of the subcutis under bipolar coagulation of individual veins.
Representation of the extensor tendon synovium

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Remark: Since this is a text-to-speech computer voice, it may mispronounce some medical terminology.

The synovium of the 4th extensor tendon compartment (SSF) is exposed and successively dissected.
Caution
Cutaneous branches of the posterior antebrachial cutaneous nerve

Synovectomy

The synovium is now gradually separated from the tendons of the 4th extensor compartment using scis

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After activation, you can expect the following content:

Incision
Representation of the extensor tendon synovium
Synovectomy
Retinaculum plastic surgery
Irrigation, drainage, and skin suture