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[大多角骨-第一掌骨关节镜检查]

[Trapeziometacarpal arthroscopy].

作者信息

Kalb K

机构信息

Klinik für Handchirurgie, Herz- und Gefäß-Klinik GmbH, Salzburger Leite 1, 97616, Bad Neustadt/Saale, Deutschland,

出版信息

Oper Orthop Traumatol. 2014 Dec;26(6):556-63. doi: 10.1007/s00064-014-0314-3. Epub 2014 Dec 3.

DOI:10.1007/s00064-014-0314-3
PMID:25452091
Abstract

OBJECTIVE

Trapeziometacarpal arthroscopy improves diagnostic and therapeutic options in pathologies of the carpometacarpal (CMC) I joint.

INDICATIONS

Pathologic conditions of the CMC I joint which are not sufficiently diagnosed by X-rays or MRI.

CONTRAINDICATIONS

Pathologic conditions of the CMC I joint in which trapeziometacarpal arthroscopy is not expected to make a contribution to diagnosis or therapy.

SURGICAL TECHNIQUE

Trapeziometacarpal arthroscopy using a 1.9 mm arthroscope after instillation of physiological solution.

POSTOPERATIVE MANAGEMENT

Thumb cast sparing the interphalangeal joint for 1 week, then functional therapy.

RESULTS

Trapeziometacarpal arthroscopy improves diagnosis of CMC I pathologies and gives new therapeutic options, a field which is still rapidly expanding.

摘要

目的

大多角骨-第一掌骨关节镜检查改善了第一腕掌(CMC)关节疾病的诊断和治疗选择。

适应症

X线或MRI无法充分诊断的第一腕掌关节病理状况。

禁忌症

大多角骨-第一掌骨关节镜检查预计对诊断或治疗无帮助的病理状况。

手术技术

在注入生理溶液后使用1.9毫米关节镜进行大多角骨-第一掌骨关节镜检查。

术后处理

拇指石膏固定,指间关节不受固定,持续1周,然后进行功能治疗。

结果

大多角骨-第一掌骨关节镜检查改善了第一腕掌关节疾病的诊断,并提供了新的治疗选择,这一领域仍在迅速发展。

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New frontiers in hand arthroscopy.手部关节镜检查的新前沿
Hand Clin. 2011 Aug;27(3):383-94. doi: 10.1016/j.hcl.2011.06.004.
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Early treatment of degenerative arthritis of the thumb carpometacarpal joint.拇指腕掌关节退行性关节炎的早期治疗
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The use of a dorsal-distal portal in trapeziometacarpal arthroscopy.大多角骨-第一掌骨关节镜检查中背侧远端入路的应用
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