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

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  1. Incision

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    Arc-shaped skin incision over the swelling on the back of the hand and sharp transection of the subcutis under bipolar coagulation of individual veins.

  2. Exposure of the Extensor Tendon Synovium

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    The synovium of the 4th extensor tendon compartment (SSF) is exposed and successively dissected free.

    Caution

    Cutaneous branches of the posterior antebrachial cutaneous nerve

Synovectomy

The synovium is now detached and removed step by step from the tendons of the 4th extensor tendon c

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