Polyclinique des 3 Vallées, 4 Route de Saint Pons, 34600 Bédarieux, France.
Hand Surg Rehabil. 2024 Sep;43(4):101737. doi: 10.1016/j.hansur.2024.101737. Epub 2024 Jun 6.
De Quervain's tendinitis is frequently observed after placement of a trapeziometacarpal prosthesis. The aim of this study was to investigate the relationship between De Quervain's tendinitis, osteoarthritis of the thumb and placement of a trapeziometacarpal prosthesis. The second aim was a critical analysis of the literature in search of a cause for this postoperative event after arthroplasty or trapeziectomy.
We reviewed a series of 331 trapeziometacarpal prostheses.
There were no differences in thumb column length, gender, type of neck (straight or angled), or surgical approach between patients who developed De Quervain's tendinitis and those who did not. However, the frequency of De Quervain's tendinitis was much higher after arthroplasty than trapeziectomy.
We believe that the preoperative frequency of De Quervain's tendinitis in trapeziometacarpal osteoarthritis is underestimated, being part of a more general pain symptomatology. More precise and specific examination is needed for a better preoperative diagnosis. Trapeziometacarpal osteoarthritis should be considered within a more global framework of peri-trapeziometacarpal pathology, including the trapeziometacarpal and triscaphoid levels, the articular ligaments and the abductor pollicis longus, extensor pollicis brevis, flexor pollicis longus, and flexor carpi radialis tendons.
腕伸肌腱腱鞘炎在掌侧桡腕关节成形术后经常发生。本研究旨在探讨腕伸肌腱腱鞘炎、拇指骨关节炎与掌侧桡腕关节成形术之间的关系。目的二是对文献进行批判性分析，以寻找术后发生这种事件的原因，包括关节成形术或腕骨切除术。
我们回顾了 331 例掌侧桡腕关节假体。
发生与未发生腕伸肌腱腱鞘炎的患者之间，拇指柱长度、性别、颈型（直颈或斜颈）或手术入路无差异。然而，与腕骨切除术相比，关节成形术后发生腕伸肌腱腱鞘炎的频率更高。
我们认为术前掌侧桡腕关节骨关节炎中腕伸肌腱腱鞘炎的发生率被低估了，它是一种更为普遍的疼痛症状。需要更精确和具体的检查以获得更好的术前诊断。掌侧桡腕关节骨关节炎应在更广泛的腕掌侧病理学框架内考虑，包括舟月和大多角骨间关节、关节韧带以及拇长展肌、拇短伸肌、拇长屈肌和桡侧腕屈肌腱。
