BOUTONNIERE RHEUMATOID THUMB DEFORMITY

被引：24

作者：

TERRONO, A ^{[1
]}

MILLENDER, L ^{[1
]}

NALEBUFF, E ^{[1
]}

机构：

[1] NEW ENGLAND BAPTIST HOSP,BOSTON,MA

来源：

JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1990年 / 15A卷 / 06期

关键词：

D O I：

10.1016/0363-5023(90)90032-M

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 boutonniere deformity is the most common rheumatoid thumb deformity. It can be classified into early, moderate, and advanced types, depending on whether the deformity is passively correctable. Fifty-three patients with 74 procedures from the basis of these recommendations. The early type treated with metacarpophalangeal joint synovectomy and extensor pollicis longus rerouting have a high recurrence rate of 64%. Metacarpophalangeal joint fusion is the procedure of choice for the moderate type with isolated metacarpophlangeal joint involvement. Metacarpophalangeal joint arthroplasty is best suited for the low-demand, older patients with borderline proximal and distal joints. Interphalangeal joint releases done with metacarpophalangeal joint fusions have a high recurrence rate and are not recommended. In advanced cases metacarpophalangeal joint arthroplasty and interphalangeal joint fusion is our procedure of choice. © 1990.

引用

页码：999 / 1003

页数：5

共 15 条

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