Symptomatic carpal collapse after trapeziectomy and partial trapeziodectomy: report of two cases.

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