Scapho-trapezio-trapezoidnf artróza jako důsledek midkarpalní nestability
| Title in English | Scapho-trapezio-trapezoid arthritis as a result of midcarpal instability |
|---|---|
| Authors | |
| Year of publication | 2014 |
| Type | Article in Periodical |
| Magazine / Source | Ortopedie |
| MU Faculty or unit | |
| Citation | |
| Field | Traumatology and orthopaedic surgery |
| Keywords | scapho-trapezio-trapezoid osteoarthritis; distal resection of the scaphoid; midcarpal instability |
| Description | The opinions on the surgical treatment of isolated scapho-trapezoid trapeziometacarpal arthritis remain divided, and even the aetiology of the origin of osteoarthritis of the joint has not been sufficiently explained. The most commonly used method of treatment for symptomatic scapho-trapezoid-trapeziometacarpal arthritis is arthrodesis, which uses restriction of movement in the wrist and is burdened with complications, especially in the form of painful pseudo-arthritis and development of radioscaphoid impingement. Another method of surgical treatment is the resection of the distal pole of the scaphoid, which often causes the disparity in midcarpal malposition between the proximal and distal carpal row and in some cases leads to progressive changes in the character of midcarpal joint destruction. This case highlights the condition where isolated scapho-trapezoid-trapeziometacarpal arthrosis is not inherently primary, but secondary consequence of chronic, asymptomatic, dorsal midcarpal instability. The frequency of these conditions and suitable method of treatment is not sufficiently documented in literature. |