Functional assessment of basal joint fusion of the thumb.
Functional assessment of basal joint fusion of the thumb.
复制标题
拇指基底关节融合的功能评估。
DOI：
10.3109/02844317009038455
复制
发表时间：
1970
期刊：
影响因子：
--
通讯作者：
N. Carstam
中科院分区：
文献类型：
--
作者：
O. Eiken;N. Carstam
本文对24例拇指腕掌关节退行性变患者行基底部关节融合术的放射学和功能评价。21例为固体融合，3例为纤维愈合。邻近关节继发关节病并不常见。大多舟关节未出现代偿性运动，掌指关节过度伸展是常见的表现，被认为是由基底部关节融合引起的腓间隙缩小所致。除2例外，其余患者静息时疼痛均得到缓解，8例患者无主诉。6例在劳累后疼痛，在明显伸展过长的病例中涉及掌指关节，在第一掌骨僵硬且突出的病例中涉及拇指根部。拇指的位置是获得良好效果的重要因素，掌侧外展30°和桡侧外展10°是最佳的治疗方法。
In the present study radiological and functional assessment of 24 cases of basal joint fusion for degenerative arthrosis of the carpo-metacarpal joint of the thumb is presented. Solid fusion occurred in 21 cases whereas 3 cases showed fibrous union. Secondary arthrosis in adjacent joints were uncommon. Compensatory motion in the greater multangular—navicular joint did not occur, while hyperextension of the metacarpo-phalangeal joint was a common finding and was considered to be secondary to the reduction of web space span caused by the basal joint fusion. Relief of pain at rest was obtained in all but 2 cases and 8 patients had no complaints. In 6 cases pain occurred after heavy work and was referred to the metacarpo-phalangeal joint in those cases with marked hyperextension, and to the base of the thumb in cases with a rigid and protruding first metacarpal. The positioning of the thumb was found to be of major importance for good results, 30° of palmar abduction and 10° of radial abduction being the opti...