Arthroscopic Management of Thumb Carpometacarpal Joint Arthritis

被引：18

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

页码：795 / +

页数：19

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