Autor: |
Rectenwald JP; Hand Center of San Antonio, San Antonio, TX, USA. jrectenwald@oaapa.com, Green DP, Dobyns JH |
Jazyk: |
angličtina |
Zdroj: |
The Journal of hand surgery [J Hand Surg Am] 2005 Jul; Vol. 30 (4), pp. 706-10. |
DOI: |
10.1016/j.jhsa.2005.01.017 |
Abstrakt: |
We present 2 cases of symptomatic nondissociative dorsal intercalated segment instability (CIND-DISI) collapse after trapeziectomy and partial trapezoidectomy for pantrapezial arthritis. Preoperative radiographs showed normal carpal alignment in 1 case and a mild DISI alignment in the other. After surgery both developed increased CIND-DISI and carpal symptoms that differed from their original thumb-base problems. One required carpal realignment and fusion; to date the other has responded to nonsurgical treatment. Such problems may be recognized insufficiently by surgeons and thus may be more common than the current literature suggests. |
Databáze: |
MEDLINE |
Externí odkaz: |
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