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2013, Number S1

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Correo Científico Médico 2013; 17 (S1)

Metacarpal trapezium arthrodesis for thumb rhizarthrosis treatment

Guerrero LLA
Full text How to cite this article

Language: Spanish
References: 6
Page: 590-595
PDF size: 207.04 Kb.


Key words:

rhizarthrosis, arthrodesis, arthroplasty.

ABSTRACT

A 39-year-old patient with a history of total hysterectomy about nine years ago due to uterine carcinoma that caused a marked osteoporosis and articular degeneration despite her youth. Rhizarthrosis in a right thumb, characterized by severe pain in the joint metacarpal trapezium appeared, as well as inability to perform the opposition of the thumb and the digital caliper, which disabled performing their regular work. After diagnosis was made in Orthopedics consultation, conservative treatment was given, which was not effective, and the specialists decided to perform the surgical therapy (metacarpal trapezium arthrodesis). This technique was selected among others such as interposition arthroplasty and resection, to provide better results and fewer relapses. Three months after the patient underwent the surgery, symptoms disappeared and good results were observed.


REFERENCES

  1. Alnot JY, Saint Laurent Y. Total trapeciometacarpal arthroplasty. Ann Chir Main N Engl J Med.1998;4:11-21.

  2. Armstrong A. The prevalence of degenerative arthritis of the base of the thumb in post-menopausal women. J Hand Surg.1994; 53(40): 340-341.

  3. Burton RI, Pellegrini VD. Surgical management of basal joint arthritis of the thumb. Part II. Ligament reconstruction with tendon interposition arthroplasty. J Hand Surg. 1986; 16(1):p.324-332.

  4. Varona O, Cortés R, Schnitman M, Búlgaro C, Barrio G. Luxación arpo-metacarpiana del primer rayo. Rev Asoc Argentina Ortop Traumatol. 1991; 56(1):130.

  5. Weilby A. Tendon interposition arthroplasty of the first carpometacarpal joint. J Hand Surg. 1988; 16(2):421-425.

  6. Zancolli EA, Zancolli ER, Cagnone JC. Rizartrosis del pulgar. Tratamiento quirúrgico en estadios iniciales y tardíos. Rev Iberoamer Cirug Mano. 2000; 27(57): 8-18.




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Correo Científico Médico. 2013;17