Department of Orthopedic Surgery, Wellstar Atlanta Medical Center, Atlanta, Georgia.
The Hand & Upper Extremity Center of Georgia, Atlanta, Georgia.
JBJS Case Connect. 2023 Jul 31;13(3). doi: 10.2106/JBJS.CC.22.00541. eCollection 2023 Jul 1.
Two high-level male athletes with isolated second and third carpometacarpal (2, 3 CMC) joint injuries presented with mid-dorsal wrist pain, decreased grip strength, and painful wrist motion. Both reported inciting trauma-1 acutely and the other months after the original injury. Both exhibited 2, 3 CMC joint tenderness and positive provocative testing on exam. Advanced imaging confirmed 2, 3 CMC joint injuries. Both patients returned to preinjury level of play 3 months after diagnosis and surgical treatment.
2, 3 CMC joint injuries should be considered when evaluating radial/mid-dorsal wrist pain. Surgical treatments range from pin stabilization to fusion depending on chronicity and associated degenerative joint changes.
两名高水平男性运动员均出现孤立性第二和第三掌腕（2, 3 CMC）关节损伤，表现为腕背中部疼痛、握力下降和腕关节运动疼痛。两人均报告有明确的创伤史-1 例为急性，另 1 例为初次损伤后数月。两人均表现为 2, 3 CMC 关节触痛和检查时阳性激发试验。高级影像学检查证实 2, 3 CMC 关节损伤。两名患者在诊断和手术治疗后 3 个月均恢复到伤前运动水平。
评估桡骨/腕背中部疼痛时应考虑 2, 3 CMC 关节损伤。手术治疗范围从钢针固定到融合，取决于慢性和相关退行性关节变化。
