Iyengar Karthikeyan, Sree Deepak V, Loh William Y C
Southport and Ormskirk NHS Trust, Southport, PR8 6PN, UK.
J Clin Orthop Trauma. 2020 Jul-Aug;11(4):537-541. doi: 10.1016/j.jcot.2020.05.008. Epub 2020 Jun 4.
Trapeziometacarpal joint instability is a well-recognised but under-diagnosed cause of basal thumb pain. A systematic approach with sound understanding of anatomy and clinico-pathological correlation is required to make a diagnosis. We discuss an overview of the principles of diagnosis and management of basal thumb joint instability. An evaluation algorithm for Eaton's injury of the thumb is proposed for clinical application with evidence in literature.
大多角骨-第一掌骨间关节不稳定是一种已被充分认识但诊断不足的拇指基部疼痛病因。需要采用一种对解剖结构和临床病理相关性有充分理解的系统方法来进行诊断。我们讨论了拇指基部关节不稳定诊断和治疗原则的概述。针对伊顿氏拇指损伤提出了一种评估算法,以供临床应用,并在文献中提供了证据支持。