Physical Examination and Radiographic Staging of Thumb Carpometacarpal Arthritis.

Autor: Zarb RM; Department of Plastic Surgery, Medical College of Wisconsin, Tosa Health Center, 1155 N. Mayfair Road, Wauwatosa, WI, USA. Electronic address: rzarb@mcw.edu., Sasor SE; Department of Plastic Surgery, Medical College of Wisconsin, Tosa Health Center, 1155 N. Mayfair Road, Wauwatosa, WI, USA.
Jazyk: angličtina
Zdroj: Hand clinics [Hand Clin] 2022 May; Vol. 38 (2), pp. 141-148.
DOI: 10.1016/j.hcl.2021.12.001
Abstrakt: This article reviews the key components of a complete history and physical examination for a patient presenting with thumb pain. The history should include the location and severity of pain, alleviating and exacerbating factors, and impact of disability. Physical examination consists of joint palpation; assessment for laxity or stiffness; inspection for swelling, subluxation, or deformity; and provocative maneuvers. Further workup includes plain radiographs with possible dedicated thumb views. Last, we review the Eaton-Littler classification system, a commonly used radiographic grading system, and some of its limitations.
Competing Interests: Disclosure The authors have nothing to disclose.
(Copyright © 2021 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE