Baker Richard H J, Al-Shukri Jaber, Davis Tim R C
Nottingham, United Kingdom.
From Queen's Medical Centre, Nottingham University Hospitals NHS Trust.
Plast Reconstr Surg. 2017 Jan;139(1):256e-266e. doi: 10.1097/PRS.0000000000002858.
After studying this article, the participant should be able to: 1. Assess the patient's history, clinical examination, and radiographic findings to diagnose and stage basilar joint arthritis. 2. Recall the cause and epidemiology of the condition. 3. Formulate a management plan including nonoperative management, and evaluate the candidacy for surgical treatment. 4. Understand the rationale for the various surgical options available (including rehabilitation), their potential complications, and the evidence related to outcomes.
This article has been prepared to accompany practice-based assessment with ongoing surgical education for the Maintenance of Certification for the American Board of Plastic Surgery. It is designed for clinicians to analyze and structure their care of a patient with arthritis of the trapeziometacarpal joint.
在研读本文后，参与者应能够：1. 评估患者的病史、临床检查及影像学检查结果，以诊断并分期第一腕掌关节关节炎。2. 回顾该病症的病因及流行病学情况。3. 制定包括非手术治疗的管理计划，并评估手术治疗的适应证。4. 理解现有各种手术选择（包括康复治疗）的基本原理、潜在并发症以及与治疗效果相关的证据。
本文是为配合基于实践的评估以及美国整形外科委员会继续认证的持续外科教育而编写的。其旨在让临床医生分析并构建他们对第一腕掌关节关节炎患者的治疗方案。
