Shin Eon K, Osterman A Lee
Thomas Jefferson University Hospital, The Philadelphia Hand Center, P.C., 834 Chestnut Street, Suite G114, Philadelphia, PA 19107, USA.
Hand Clin. 2008 Aug;24(3):239-50, v. doi: 10.1016/j.hcl.2008.03.007.
Degenerative joint disease affecting the thumb metacarpophalangeal and interphalangeal joints is a debilitating condition, which can significantly restrict activities of daily living. Conservative measures to address symptoms include oral anti-inflammatory medications, activity modification and splinting, and intraarticular corticosteroid injections. Surgical interventions include arthroscopic synovectomy, arthroplasty, and finally arthrodesis of the affected articulations. Although short-term results from synovectomy and arthroplasty seem promising, long-term data are not yet available. Arthrodesis of the metacarpophalangeal and interphalangeal joints yields a stable yet functional thumb with reliably good pain relief.
影响拇指掌指关节和指间关节的退行性关节病是一种使人衰弱的病症，会显著限制日常生活活动。缓解症状的保守措施包括口服抗炎药物、调整活动和使用夹板，以及关节内注射皮质类固醇。手术干预包括关节镜下滑膜切除术、关节成形术，最后是对受影响关节进行关节融合术。尽管滑膜切除术和关节成形术的短期结果似乎很有前景，但尚无长期数据。掌指关节和指间关节的关节融合术可产生一个稳定且功能正常的拇指，并能可靠地有效缓解疼痛。
