Horváth F, Lengyel E
Z Orthop Ihre Grenzgeb. 1976 Oct;114(5):822-7.
The frequency of arthrosis in the first ray of the hand increases with the age of the patient, particularly in the saddle joint of the thumb and in the joint between the trapezoid bone and the navicular bone of the hand. The finding is frequently bilateral and is accompanied by kinesalgia, periarticular swelling and restricted movement. A relationship between arthrosis of the first ray of the hand and certain occupations can be assumed. While the arthrosis in the saddle joint of the thumb demonstrates the usual radiological symptoms of arthrosis, the sclerosing of the joint surfaces between the os naviculare and the ossa multangula is the most pronounced.
手部第一掌骨列关节病的发病率随患者年龄增长而增加,尤其是拇指鞍状关节以及手部大多角骨与舟状骨之间的关节。这一发现通常为双侧性,并伴有运动痛、关节周围肿胀和活动受限。可以推测手部第一掌骨列关节病与某些职业之间存在关联。虽然拇指鞍状关节的关节病表现出关节病常见的放射学症状,但舟状骨与大多角骨之间关节面的硬化最为明显。