Trapeziometacarpal osteoarthritis. Staging as a rationale for treatment.
Trapeziometacarpal osteoarthritis. Staging as a rationale for treatment.
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斜方掌骨骨关节炎。
DOI：
10.1177/1558944716688528
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发表时间：
1987
期刊：
影响因子：
1.1
通讯作者：
Glickel Sz
中科院分区：
文献类型：
--
作者：
Eaton Rg;Glickel Sz
拇指基底关节的疼痛性关节病包括一系列关节炎疾病。保留关节软骨的疼痛性活动过度拇指需要完全不同类型的治疗，而类似的疼痛性基底关节则有多个关节面的僵硬和退化。通过仔细的影像学评估，特别是侧位投照，可以为退行性病变的分期提供一套合理的影像学指南。如果手术时直接检查关节面发现比X线片上看到的更多的损伤，则必须准备调整术前分期。一旦确定了疾病的最终分期，治疗手段就会大大简化，并且可以更准确地应用针对“基底关节炎”提出的多种程序。
Painful arthrosis of the basal joints of the thumb covers a spectrum of arthritic disease. The painful hypermobile thumb with articular cartilage preserved requires an entirely different type of treatment than does the similarly painful basal joint, which has stiffness and degeneration of more than one facet of the trapezium. By careful radiographic evaluation of the trapezial articulations, particularly in the lateral projection, a reasonable set of radiographic guidelines for staging of the degenerative process can be provided. One must be prepared to adjust this preoperative staging should direct inspection of the articular surfaces at surgery indicate more damage than perceived on the radiograph. Once the ultimate staging of the disease has been established, the means of treatment is considerably simplified and the multiple procedures that have been proposed for "basal joint arthritis" can be applied more accurately.