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[拇指基底关节骨关节炎]

[Basal joint osteoarthritis of the thumb].

作者信息

Deiler Stephan

机构信息

Klinikum rechts der Isar, Klinik und Poliklinik für Unfallchirurgie, Technische Universität München, Ismaninger Str. 22, 81675, München, Deutschland.

出版信息

Orthopade. 2019 Apr;48(4):351-366. doi: 10.1007/s00132-019-03707-8.

Abstract

The basal joint of the thumb (articulatio carpometacarpalis pollicis) is the joint of the hand most frequently affected by arthritis. Arthritis of the basal joint of the thumb typically occurs in the second half of life and more frequently in women. The clinical symptoms are pain, joint swelling, reduced strength and limited hand function with a reduced hand span. When clinical symptoms first appear a conservative treatment is initially indicated. If these measures do not lead to an improvement of the complaints, various operative measures are possible depending on the stage of the disease detected by radiological imaging.

摘要

拇指基底关节(腕掌关节)是手部最常受关节炎影响的关节。拇指基底关节的关节炎通常发生在人生的后半段,女性更为常见。临床症状包括疼痛、关节肿胀、力量减弱以及手部功能受限,手的跨度减小。当临床症状首次出现时,最初应采取保守治疗。如果这些措施不能改善症状,则根据影像学检查所发现的疾病阶段,可采取各种手术措施。

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