Petscavage-Thomas Jonelle M, Gustas-French Cristy, Walker Eric A
Department of Radiology, Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania.
Semin Musculoskelet Radiol. 2019 Apr;23(2):151-161. doi: 10.1055/s-0038-1677464. Epub 2019 Mar 29.
Arthritis involving the hand and wrist can significantly impair functions of daily living. Although arthrodesis provides pain relief, it limits range of motion at the affected joint. Arthroplasty is an alternative surgical treatment for hand and wrist arthritis, providing both pain relief and restoration of a range of motion. Over the past decade, several advances have occurred in hand and wrist arthroplasty designs. This article reviews component design, normal imaging appearance, and common complications of arthroplasty used in the wrist and hand. It also introduces readers to newer arthroplasty designs.
累及手部和腕部的关节炎会严重损害日常生活功能。虽然关节融合术能缓解疼痛,但它会限制患关节的活动范围。关节成形术是治疗手部和腕部关节炎的一种替代性手术疗法,既能缓解疼痛又能恢复活动范围。在过去十年中,手部和腕部关节成形术的设计有了多项进展。本文综述了腕部和手部关节成形术的组件设计、正常影像学表现及常见并发症。它还向读者介绍了更新的关节成形术设计。