Surgical treatment of trapeziometacarpal joint osteoarthritis

Taccardo, Giuseppe and De Vitis, Rocco and Parrone, Giuseppe and Milano, Giuseppe and Fanfani, Francesco (2013) Surgical treatment of trapeziometacarpal joint osteoarthritis. Joints, 1 (3). pp. 138-144. ISSN 2282-4324

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Abstract

Trapeziometacarpal joint osteoarthritis is a common cause of radial-sided wrist pain that prevalently affects women. It is diagnosed on the basis of a thorough history, physical examination, and radiographic evaluation. While radiographs are used to determine the stage of disease, treatment is dependent on the severity of the symptoms. Non-surgical treatment frequently consists of activity modification, non-steroidal anti-inflammatory drugs, splinting and corticosteroid injections. After failure of conservative treatment, various surgical options exist depending on the stage of the disease. These options range from ligament reconstruction or osteotomy, for early painful laxity, to trapeziectomy, arthrodesis and arthroplasty for more severe osteoarthritis. This article reviews the literature supporting the various surgical treatment options and analyzes the surgical techniques most frequently used in the different disease stages.

Item Type:	Article
Uncontrolled Keywords:	Trapeziometacarpal joint, osteoarthritis, rhizoarthrosis, surgical treatment, tendon interposition, ligamentoplasty, arthrodesis
Subjects:	600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 617 Rami vari della medicina; Chirurgia > 617.4 Chirurgia secondo il Sistema e Regioni
Depositing User:	Chiara D'Arpa
Date Deposited:	02 Sep 2014 09:18
Last Modified:	02 Sep 2014 09:18
URI:	http://eprints.bice.rm.cnr.it/id/eprint/8888

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