[The synoviorthesis: a reappraisal].
BACKGROUND
The evolution of the rheumatologic practice involved a handing-over in question of the place and methods of application of the synoviorthesis. The last innovations, in particular the appearance of the bio-therapies, allowed a better control of inflammatory rheumatism thus making it possible to better select arthritis likely to profit precociously from a synoviorthesis before the installation of major articular destruction.


OBJECTIVE
Through a general review of the literature, we recall in this work the various means of synoviorthesis, their current indications and their results.


METHODS
An extensive electronic search of the relevant literature was carried out using MEDLINE. Key words used for the final search were: synoviorthesis, osmic acid, radiosynoviorthesis, arthritis, treatment.


RESULTS
This systematic review allowed us to conclude that fields of application of the synoviorthesis is in addition widens because of the interesting results to see spectacular this technique in some other affections such as the haemophilia. In addition we have compared the efficiency and the tolerance of the different methods of synoviorthesis.


CONCLUSIONS
The synoviorthesis constitutes a tempting therapeutic alternative of share its effectiveness and its good tolerance so much so that it constitutes an undeniable factor of articular protection. Its fields of application widened. Thus on the good knowledge of the indications and the precautions necessary to its realization its success.
Ajlani
Houda
H
Service de Rhumatologie la Rabra, Tunis, Tunisie.
Sahli
Hela
H
Elleuch
Mohamed
M
Meddeb
Nihel
N
Cheour
Elhem
E
Sellami
Sleheddine
S
D001172:Arthritis, Rheumatoid / Q000175:diagnosis / Q000188:drug therapy* / Q000532:radiotherapy*; D019317:Evidence-Based Medicine; D006395:Hemarthrosis / Q000188:drug therapy / Q000532:radiotherapy; D006801:Humans; D007270:Injections, Intra-Articular; D009993:Osmium Tetroxide / Q000008:administration & dosage*; D012720:Severity of Illness Index; D013585:Synovitis / Q000188:drug therapy / Q000532:radiotherapy; D016896:Treatment Outcome; D015021:Yttrium Radioisotopes / Q000008:administration & dosage*
D015021:Yttrium Radioisotopes; D009993:Osmium Tetroxide