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discussion

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ardith
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discussion

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  1. discussion I told you you wouldn’t be ready for the surgical finding. This abundant cream-of-wheat appearing material is known as rice bodies, but it is actually multiple fibrin islands, which are produced by an overactive tenosynovium. Therefore it should not be a surprise to you that the proliferation tracks along the flexor tendon sheath of the small finger. The underlying process is rheumatoid arthritis. This case is a clear example that RhA affects any synovium, here around a tendon, not necessarily in a joint. A thorough debridement of the rice bodies and the tenosynovium followed by good medical control of the RhA will allow for restoration of nearly normal motion and likely prevent any significant recurrence.

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