腕掌关节关节炎。
Trapeziometacarpal joint arthritis.
机构信息
University of Medicine & Dentistry of NJ, 42 East Laurel Road, UDP 3900, Stratford, NJ, 08084, USA,
出版信息
Curr Rev Musculoskelet Med. 2013 Mar;6(1):1-8. doi: 10.1007/s12178-012-9147-6.
Abstract
Trapeziometacarpal (TM) joint arthritis is a common cause of radial-sided wrist pain that preferentially affects women. It is diagnosed by a thorough history, physical examination, and radiographic evaluation. While radiographs are used to determine the stage of disease, treatment is dependent on symptom severity. Nonoperative treatment frequently consists of activity modification, non-steroidal anti-inflammatory drugs (NSAIDs), splinting, and corticosteroid injections. After failure of conservative treatment, various surgical options exist depending on the stage of disease. This article reviews the literature supporting the various surgical treatment options. Special consideration is given to the comparison of trapeziectomy with and without tendon interposition and ligament reconstruction.
摘要
腕关节桡侧疼痛的常见病因是大多发生在女性的掌指（TM）关节关节炎。通过详细的病史、体格检查和影像学评估进行诊断。虽然 X 线片用于确定疾病分期，但治疗取决于症状严重程度。非手术治疗通常包括活动调整、非甾体抗炎药（NSAIDs）、夹板固定和皮质类固醇注射。在保守治疗失败后，根据疾病分期，存在各种手术选择。本文综述了支持各种手术治疗选择的文献。特别考虑了切除和不切除肌腱间置和韧带重建的比较。
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