Schwartz D A, Peimer C A
Hand Center of Western New York, Millard Fillmore Health Systems, Buffalo, USA.
J Hand Ther. 1998 Jan-Mar;11(1):49-52. doi: 10.1016/s0894-1130(98)80061-6.
Degenerative joint disease commonly affects the distal interphalangeal (DIP) joints, causing articular destruction and marginal bone formation. Treatment for pain relief and function is most often done through arthrodesis. The case of a 70-year-old concert violinist with left index finger DIP joint osteoarthritis is presented. Arthritis in the involved joint caused pain and deformity and interfered with the patient's ability to play music. Trial arthrodesis with K-wires proved impossible because of the patient's need for continued mobility. Swanson hinge implant arthroplasty was performed on the affected DIP joint. The patient eventually achieved an excellent result and was able to return to playing the violin professionally. Treatment and therapy guidelines are presented.
退行性关节病通常累及远侧指间（DIP）关节，导致关节破坏和边缘骨形成。缓解疼痛和恢复功能的治疗通常通过关节融合术进行。本文介绍了一位70岁的音乐会小提琴家，其左手食指远侧指间关节患骨关节炎的病例。受累关节的关节炎引起疼痛和畸形，影响了患者演奏音乐的能力。由于患者需要持续的活动能力，用克氏针进行试验性关节融合术被证明是不可能的。对受累的远侧指间关节进行了斯旺森铰链植入关节成形术。患者最终取得了极佳的效果，并能够重新以专业水准演奏小提琴。文中还介绍了治疗和康复指南。
