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Article ; Online: Diagnosis and Treatment of Carpometacarpal Instability.

Warwick, David / Fetouh, Sherif

Hand clinics

2022  Volume 38, Issue 2, Page(s) 261–268

Abstract: Hypermobility of the first CMC joint may adversely affect hand function and may lead to osteoarthritis later in life. It presents more commonly in younger women with generalized joint hypermobility or postmenopausal women with early stages of arthritis. ... ...

Abstract Hypermobility of the first CMC joint may adversely affect hand function and may lead to osteoarthritis later in life. It presents more commonly in younger women with generalized joint hypermobility or postmenopausal women with early stages of arthritis. It may follow trauma and deletive surgical interventions. Clinically, joint subluxation manifests with a prominent and unstable thumb base, and is radiographically confirmed by stress views. A variety of ligament reconstruction techniques are available to stabilize the CMC joint including open ligament reconstruction with or without temporary Kirschner-wire fixation, arthroscopic debridement with capsular shrinkage, metacarpal extension osteotomy, internal proprietary anchors, and arthrodesis.
MeSH term(s) Arthrodesis ; Carpometacarpal Joints/surgery ; Female ; Humans ; Joint Instability/diagnosis ; Joint Instability/surgery ; Osteoarthritis/diagnosis ; Osteoarthritis/surgery ; Osteotomy ; Thumb/surgery
Language English
Publishing date 2022-04-23
Publishing country United States
Document type Journal Article ; Review
ZDB-ID 1315374-2
ISSN 1558-1969 ; 0749-0712
ISSN (online) 1558-1969
ISSN 0749-0712
DOI 10.1016/j.hcl.2021.11.005
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