THE PREVALENCE OF CARPAL-TUNNEL SYNDROME IN PATIENTS WITH BASAL JOINT ARTHRITIS OF THE THUMB

被引：62

作者：

FLORACK, TM ^{[1
]}

MILLER, RJ ^{[1
]}

PELLEGRINI, VD ^{[1
]}

BURTON, RI ^{[1
]}

DUNN, MG ^{[1
]}

机构：

[1] UNIV ROCHESTER,DEPT ORTHOPAED,601 ELMWOOD AVE,BOX 665,ROCHESTER,NY 14642

来源：

JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1992年 / 17A卷 / 04期

关键词：

D O I：

10.1016/0363-5023(92)90305-9

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：

Basal joint arthritis of the thumb and carpal tunnel syndrome are common conditions with an acknowledged coexistence. This article attempts to quantify the prevalence of carpal tunnel syndrome in patients with basal joint arthritis and to examine some of the etiologic factors that affect the coexistence of the two disorders. Of 246 patients who had surgery about the basal joint, 95 patients (39%) were identified by chart review as having carpal tunnel syndrome. Eleven of 122 remaining patients contacted had symptomatic carpal tunnel syndrome confirmed by nerve-conduction studies, bringing the total to 106 (43%). The prevalence was higher in worker's compensation patients and those with diabetes mellitus. The prevalence was lower in men than in women, and patients with inflammatory joint disease were at less risk than those with osteoarthritis. Given this high association, great care should be taken to diagnose or exclude coexistent carpal tunnel syndrome in patients scheduled for basal joint surgery so that, if present, it can be treated at the same time, diminishing the risk of postoperative morbidity and delayed symptoms.

引用

页码：624 / 630

页数：7

共 39 条

[1]

Burton, Basal joint arthritis: fusion, implant, or soft tissue reconstruction?, Orthop Clin North Am, 17, pp. 493-503, (1986)

[2]

Burton, Complications following surgery on the basal joint of the thumb, Hand Clinics, 2, pp. 265-269, (1986)

[3]

Froimson, Tendon arthroplasty of the trapeziometacarpal joint, Clin Orthop, 70, pp. 191-199, (1970)

[4]

Haffajee, Endoprosthetic replacement of the trapezium for arthrosis in the carpometacarpal joint of the thumb, J Hand Surg, 2, pp. 141-148, (1977)

[5]

Herndon, Trapeziometacarpal arthroplasty: a clinical review, Clin Orthop, 220, pp. 99-105, (1987)

[6]

Milford, The arthritic hand, Campbell's operative orthopaedics, pp. 377-407, (1990)

[7]

Swanson, de Groot Swanson, Watermeier, Trapezium implant arthroplasty: long-term evaluation of 150 cases, J Hand Surg, 6, pp. 125-141, (1981)

[8]

Thompson, Surgical treatment of trapeziometacarpal arthrosis, Adv Orthop Surg, 10, pp. 105-120, (1986)

[9]

Crosby, Linscheid, Dobyns, Scaphotrapezial trapezoidal arthrosis, J Hand Surg, 3, pp. 223-234, (1978)

[10]

Dell, Brushart, Smith, Treatment of trapeziometacarpal arthritis: results of resection arthroplasty, J Hand Surg, 3, pp. 243-249, (1978)

← 1 2 3 4 →