Kapoutsis D V, Dardas A, Day C S
Department of Orthopedic Surgery, Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, MA 02115, USA.
J Hand Surg Am. 2011 Feb;36(2):354-66. doi: 10.1016/j.jhsa.2010.11.047.
Osteoarthritis of the first carpometacarpal joint is the second most common site of osteoarthritis in humans. Symptomatic isolated scaphotrapeziotrapezoid joint arthritis, though less common overall, is also frequently observed by the hand surgeon. Investigations on the etiology, pathophysiology, natural history, outcomes of traditional treatments, and new forms of surgical techniques have been attracting more interest in the field of hand surgery. The goal of this article is to sort through the current prevailing ideas using recently available literature and to offer a concise, updated guide to further enhance the understanding of thumb carpometacarpal and scaphotrapeziotrapezoid arthritis.
第一腕掌关节骨关节炎是人类第二常见的骨关节炎发病部位。有症状的孤立舟大多角小多角关节关节炎，虽然总体上不太常见，但手外科医生也经常观察到。关于其病因、病理生理学、自然史、传统治疗结果以及新的手术技术形式的研究，在手部外科领域一直吸引着越来越多的关注。本文的目的是利用最近可得的文献梳理当前流行的观点，并提供一份简洁、最新的指南，以进一步增进对拇指腕掌关节和舟大多角小多角关节关节炎的理解。
