Meier R, Spies C K, Hug U, Honigmann P, Harbrecht A, Engler C
Klinik für Handchirurgie und Orthopädie, Spital Langenthal, Spital Region Oberaargau SRO AG, Langenthal, Schweiz.
Medizinische Fakultät, Universität zu Köln, Köln, Deutschland.
Orthopadie (Heidelb). 2025 Mar;54(3):227-239. doi: 10.1007/s00132-025-04616-9. Epub 2025 Jan 29.
Pain around the first ray of the hand, particularly in the thumb area, is a frequent clinical problem that can have various causes. This article explores the most important differential diagnoses, including thumb carpometacarpal (CMC-I) osteoarthritis (rhizarthrosis), de Quervain's stenosing tenosynovitis, carpal tunnel syndrome and Wartenberg's syndrome. A detailed medical history, targeted clinical examination and if necessary the use of modern imaging techniques are crucial for making the diagnosis. The therapeutic approaches range from conservative measures to surgical interventions, depending on the severity and underlying cause of the disease. This article provides an overview of current diagnostic and treatment strategies.
手部第一掌骨桡侧周围疼痛，尤其是在拇指区域，是一个常见的临床问题，可能有多种原因。本文探讨了最重要的鉴别诊断，包括拇指腕掌关节（CMC-I）骨关节炎（拇指关节病）、桡骨茎突狭窄性腱鞘炎、腕管综合征和瓦滕伯格综合征。详细的病史、有针对性的临床检查以及必要时使用现代成像技术对于做出诊断至关重要。治疗方法从保守措施到手术干预不等，这取决于疾病的严重程度和潜在病因。本文概述了当前的诊断和治疗策略。
