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The main advantage of the procedure over an open operative synovectomy is its ability to more effectively remove synovial tissue in the volar recesses of the radiocarpal and midcarpal joints. (56,57) Arthroscopic synovectomies are contraindicated in the presence of dorsal tenosynovitis, due to the risk that the portal incisions may further damage tendons that are already at risk for rupture.
[12,13] Although there is no threshold limit for distraction, but there is a correlation between increasing carpal height index and worse functional outcomes with distraction of 5-8 mm across the radiocarpal and midcarpal joints have no negative outcome.