Volar Plate Advancement and Abductor Pollicis Brevis Tenodesis for Thumb Metacarpophalangeal Joint Hyperextension Correction | ||
| The Archives of Bone and Joint Surgery | ||
| مقاله 9، دوره 11، شماره 1، فروردین 2023، صفحه 68-71 اصل مقاله (1.67 M) | ||
| نوع مقاله: TECHNICAL NOTE | ||
| شناسه دیجیتال (DOI): 10.22038/abjs.2022.64493.3100 | ||
| نویسندگان | ||
| Teun Teunis* 1؛ Sonya Khurana2؛ Joseph Imbriglia3 | ||
| 1University Pittsburgh Medical Center, Pittsburgh, PA, USA | ||
| 2Perimeter Orthopaedics, Atlanta, GA, USA | ||
| 3Wexford Hand and Shoulder Center, Wexford, PA, USA | ||
| چکیده | ||
| First carpometacarpal (CMC1) osteoarthritis can be accompanied by the collapse of the first ray, with hyperextension of the first metacarpophalangeal (MCP1) joint. It is suggested that failure to address substantial MCP1 hyperextension during CMC1 arthroplasty may diminish post-operative capability and increase collapse reoccurrence. An arthrodesis is recommended in case of severe MCP1 joint hyperextension (>400 ). We describe a novel combination of a volar plate advancement and abductor pollicis brevis tenodesis to address MCP1 hyperextension at the time of CMC1 arthroplasty as an alternative to joint fusion. In 6 women, mean MCP1 hyperextension with pinch before surgery was 450 (range 300 -850 ) and improved to 210 (range 150 -300 ) of flexion with pinch six months after surgery. No revision surgery has been necessary to date, and there were no adverse events. Long-term outcome data is needed to establish the longevity of this procedure as an alternative to joint fusion, but early results are promising. Level of evidence: IV | ||
| کلیدواژهها | ||
| ABP tenodesis؛ Basal joint arthritis؛ CMC1 arthritis؛ MCP1 hyperextension؛ Volar plate advancement | ||
| مراجع | ||
|
1. Armbruster EJ, Tan V. Carpometacarpal joint disease: addressing the metacarpophalangeal joint deformity. Hand Clin. 2008;24(3):295-299, vii. doi: 10.1016/j. hcl.2008.03.013. 2. Klinefelter R. Metacarpophalangeal hyperextension deformity associated with trapezial-metacarpal arthritis. J Hand Surg Am. 2011;36(12):2041-2; quiz 2043. doi: 10.1016/j.jhsa.2011.05.006. 3. Imaeda T, An KN, Cooney WP, 3rd. Functional anatomy and biomechanics of the thumb. Hand Clin. 1992;8(1):9-15. 4. Becker SJ, Briet JP, Hageman MG, Ring D. Death, taxes, and trapeziometacarpal arthrosis. Clin Orthop Relat Res. 2013;471(12):3738-3744. doi: 10.1007/s11999- 013-3243-9. 5. Iyer KM, Stanley JK. Congenital absence of flexor pollicis brevis and abductor pollicis brevis. Hand. 1982;14(3):313-316. doi: 10.1016/s0072- 968x(82)80067-3. | ||
|
آمار تعداد مشاهده مقاله: 346 تعداد دریافت فایل اصل مقاله: 354 |
||