Arthroscopic synovectomy of idiopathic synovitis of the distal radial ulnar joint

摘要

A 39-year-old male sheep farmer presented with a 6-month history of episodic left distal forearm and wrist pain. There was no history of trauma, but he had sustained sheep bites and had suffered a suspected episode of Orf. He was treated by his general practitioner on three separate occasions over 6 months with erythromycin and flucloxacillin, with temporary resolution of symptoms, only to relapse on finishing the antibiotic course. On examination, there was erythema and tenderness over the dorsal aspect of the wrist and forearm, especially over the ulnar styloid.