Hospital of Clinics of Ribeirao Preto Medical School of the University of São Paulo, São Paulo, Brazil.
Tech Hand Up Extrem Surg. 2022 Dec 1;26(4):240-245. doi: 10.1097/BTH.0000000000000391.
The carpometacarpal boss (CMCB) is painful bony prominence in the dorsum of the hand that can lead to functional and aesthetic impairment. Nonoperative methods are the management of choice, achieving good outcomes. However, operative management could be an alternative in the absence of improvement. Nevertheless, open procedures are more likely to be done, but there are complications, and it is more aggressive to the soft tissue. The use of arthroscopic techniques has increased in the last decade, being a safe alternative for CMCB management. It has the advantage of being a minimally invasive technique, allowing the early range of motion. This minimally invasive method allows synovectomy and preserves tendon attachments, achieving good functional outcomes. This case report presents an arthroscopic technique for managing the middle finger CMCB.
掌腕骨隆突（CMCB）是手部背侧疼痛的骨性隆起，可导致功能和美观受损。非手术方法是首选的治疗方法，可取得良好的效果。然而，如果没有改善，手术治疗可能是一种替代方法。然而，开放性手术更有可能进行，但存在并发症，对软组织的侵袭性更大。在过去十年中，关节镜技术的应用有所增加，成为 CMCB 管理的一种安全替代方法。它的优点是微创技术，可以早期进行关节活动度的恢复。这种微创方法可以进行滑膜切除术并保留肌腱附着，从而获得良好的功能结果。本病例报告介绍了一种用于治疗中指 CMCB 的关节镜技术。
