Symptomatic carpal collapse after trapeziectomy and partial trapeziodectomy: Report of two cases

被引：25

作者：

Rectenwald, JP ^{[1
]}

Green, DP ^{[1
]}

Dobyns, JH ^{[1
]}

机构：

[1] Orthopaed Asoc Augusta PA, Augusta, GA 30901 USA

来源：

JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 2005年 / 30A卷 / 04期

关键词：

carpal instability; osteoarthritis; arthroplasty; thumb;

D O I：

10.1016/j.jhsa.2005.01.017

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

We present 2 cases of symptomatic nondissociative dorsal intercalated segment instability (CIND-DISI) collapse after trapeziectomy and partial trapezoidectomy for pantrapezial arthritis. Preoperative radiographs showed normal carpal alignment in 1 case and a mild DISI alignment in the other. After surgery both developed increased CIND-DISI and carpal symptoms that differed from their original thumb-base problems. One required carpal realignment and fusion; to date the other has responded to nonsurgical treatment. Such problems may be recognized insufficiently by Surgeons and thus may be more common than the current literature suggests.

引用

页码：706 / 710

页数：5

共 12 条

[1] Save the trapezium: Double interposition arthroplasty for the treatment of stage IV disease of the basal joint [J].