Arthroscopic Synovectomy (Elbow)
Minimally Invasive Surgery for Chronic Elbow Inflammation and Pain
Arthroscopic synovectomy is a keyhole surgical procedure used to remove inflamed or abnormal synovial tissue from inside the elbow joint. The synovium is a thin lining that produces fluid to help lubricate the joint. When this tissue becomes irritated or overgrown, it can cause swelling, pain, stiffness, and ongoing joint problems.
As part of his expertise in elbow surgery, Dr Ben McGrath offers arthroscopic synovectomy to help relieve symptoms and protect long-term joint function in suitable patients.
What Is the Synovium and Why Is It Removed?
The synovium plays an important role in joint health by producing fluid that allows smooth, comfortable movement. In some conditions, the synovium becomes thickened or inflamed. This can result in painful swelling, reduced movement, and gradual damage to the joint over time.
Removing the abnormal synovial tissue may help reduce these symptoms and improve function, especially when other treatments have not been successful.
Conditions That May Lead to Synovectomy
Arthroscopic synovectomy is most often recommended when chronic inflammation affects the joint. Common conditions include:
Rheumatoid arthritis or other inflammatory forms of arthritis
Synovitis, which refers to persistent swelling of the synovial lining
Pigmented villonodular synovitis, a rare condition involving overgrowth of the synovium
Ongoing irritation after injury or trauma
Elbow overuse injuries that lead to chronic joint inflammation
If non-surgical treatments such as medication, physiotherapy, or injections are not relieving your symptoms, Dr McGrath may discuss surgical options with you.
When Surgery May Be Considered
Dr McGrath may recommend synovectomy if you are experiencing:
Repeated swelling in the elbow joint
Ongoing pain that does not improve with non-operative care
Stiffness or difficulty moving your arm
Changes seen on imaging, such as thickened synovial tissue
A confirmed diagnosis of a condition affecting the synovial lining
The Arthroscopic Synovectomy Surgical Procedure
Arthroscopic synovectomy is performed through small incisions using a camera and specialised surgical tools. The camera is inserted into the joint to allow clear visualisation of the affected tissue. Dr McGrath then carefully removes the inflamed or thickened synovial lining using fine instruments.
This procedure is typically performed under general anaesthesia or regional nerve block. It is less invasive than open surgery and aims to protect the healthy parts of the joint while removing the problematic tissue.
Potential Benefits of Arthroscopic Synovectomy
Minimally invasive with small incisions
Reduced post-operative discomfort compared to open surgery
Faster return to daily activities
Shorter hospital stay, often as day surgery
Preserves joint structure and may help delay joint damage in some conditions
Rehabilitation and Recovery
Most patients experience a gradual improvement in symptoms over a few weeks. Recovery involves:
Short-term rest and possible use of a sling for comfort
Early movement exercises to avoid stiffness
Pain and swelling management with medications as needed
Physiotherapy to restore movement and strength
Return to work and sport depending on the type of activity and recovery progress
Dr McGrath will provide a tailored rehabilitation plan based on your needs and overall joint health.