Arthroscopic Management of Thumb Carpometacarpal Joint Arthritis

被引：15
作者：
Wong, Clara Wing-yee [1 ]
Ho, Pak-cheong [2 ]
机构：
[1] Chinese Univ Hong Kong, Prince Wales Hosp, Dept Orthopaed & Traumatol, Div Hand & Microsurg, 16-F,16 Ice House St, Central, Hong Kong, Peoples R China
[2] Chinese Univ Hong Kong, Div Hand & Microsurg, Dept Orthopaed & Traumatol, Prince Wales Hosp, 5F,Lui Che Woo Clin Sci Bldg,30-32 Ngan Shing St, Shatin, Hong Kong, Peoples R China
来源：
HAND CLINICS | 2017年 / 33卷 / 04期
关键词：
Thumb basal joint arthritis; Arthroscopy; Thumb carpometacarpal joint; Suture button suspensionplasty; SYMPTOMATIC HAND OSTEOARTHRITIS; TENDON INTERPOSITION ARTHROPLASTY; SUTURE-BUTTON SUSPENSIONPLASTY; LIGAMENT RECONSTRUCTION; TRAPEZIOMETACARPAL JOINT; BASAL JOINT; TRAPEZIECTOMY; PREVALENCE; EXCISION; DISABILITY;
D O I：
10.1016/j.hcl.2017.07.007
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：
The thumb carpometacarpal joint (CMCJ1) is born to have good freedom of motion. However, the excellent mobility at this joint also predisposes attenuation of capsuloligamentous structures, joint incongruity, instability, and osteoarthritis. The prevalence of radiographic CMCJ1 arthritis is high. There is no single ideal surgery for all stages of CMCJ1 arthritis, and for all kinds of patients. The arthroscopic approach seems to provide a better alternative with rewarding preliminary results. It includes arthroscopic synovectomy/debridement/thermal shrinkage, arthroscopic partial trapeziectomy and suture button suspensionplasty, and arthroscopic CMCJ1 excision/ suture button suspensionplasty/K-wire fixation.
引用
收藏
页码：795 / +
页数：19
相关论文
共 69 条
  • [1] Arthroscopic interposition arthroplasty of the first carpometacarpal joint
    Adams, J. E.
    Merten, S. M.
    Steinmann, S. P.
    [J]. JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME, 2007, 32E (03) : 268 - 274
  • [2] Does Arthroscopic Debridement With or Without Interposition Material Address Carpometacarpal Arthritis?
    Adams, Julie E.
    [J]. CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2014, 472 (04) : 1166 - 1172
  • [3] The Influence of Evidence in the Surgical Treatment of Thumb Basilar Joint Arthritis
    Aliu, Oluseyi
    Davis, Matthew M.
    DeMonner, Sonya
    Chung, Kevin C.
    [J]. PLASTIC AND RECONSTRUCTIVE SURGERY, 2013, 131 (04) : 816 - 828
  • [4] THE PREVALENCE OF DEGENERATIVE ARTHRITIS OF THE BASE OF THE THUMB IN POSTMENOPAUSAL WOMEN
    ARMSTRONG, AL
    HUNTER, JB
    DAVIS, TRC
    [J]. JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME, 1994, 19B (03) : 340 - 341
  • [5] CONTACT AREAS IN THE THUMB CARPOMETACARPAL JOINT
    ATESHIAN, GA
    ARK, JW
    ROSENWASSER, MP
    PAWLUK, RJ
    SOSLOWSKY, LJ
    MOW, VC
    [J]. JOURNAL OF ORTHOPAEDIC RESEARCH, 1995, 13 (03) : 450 - 458
  • [6] Early failures with a spheric interposition arthroplasty of the thumb basal joint
    Athwal, GS
    Chenkin, J
    King, GJ
    Pichora, DR
    [J]. JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 2004, 29A (06): : 1080 - 1084
  • [7] AUNE S, 1955, Acta Chir Scand, V109, P449
  • [8] Trapeziometacarpal arthroscopy: A classification and treatment algorithm
    Badia, Alejandro
    [J]. HAND CLINICS, 2006, 22 (02) : 153 - +
  • [9] Osteoarthritis of the thumb trapeziometacarpal joint
    Batra, Sameer
    Kanvinde, R.
    [J]. CURRENT ORTHOPAEDICS, 2007, 21 (02): : 135 - 144
  • [10] Thumb base involvement in symptomatic hand osteoarthritis is associated with more pain and functional disability
    Bijsterbosch, Jessica
    Visser, Willemien
    Kroon, Herman M.
    Stamm, Tanja
    Meulenbelt, Ingrid
    Huizinga, Tom W. J.
    Kloppenburg, Margreet
    [J]. ANNALS OF THE RHEUMATIC DISEASES, 2010, 69 (03) : 585 - 587
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