Small Joint Denervation of the Hand and Thumb Base: History, Anatomy, Technique, and Outcomes.

Autor:	Lifchez SD; Department of Plastic and Reconstructive Surgery, Johns Hopkins School of Medicine, Baltimore, MD. Electronic address: slifche1@jhmi.edu., Shores JT; Department of Plastic and Reconstructive Surgery, Johns Hopkins School of Medicine, Baltimore, MD., Tuffaha SH; Department of Plastic and Reconstructive Surgery, Johns Hopkins School of Medicine, Baltimore, MD.
Jazyk:	angličtina
Zdroj:	The Journal of hand surgery [J Hand Surg Am] 2024 Jun; Vol. 49 (6), pp. 592-601. Date of Electronic Publication: 2024 Feb 07.
DOI:	10.1016/j.jhsa.2023.12.015
Abstrakt:	Painful arthritis of the small joints of the hand is a common condition affecting older adults, with distal interphalangeal joint and thumb carpometacarpal joint being the two most common locations. Younger adults may also develop painful arthritis after trauma and with inflammatory arthropathy. Traditional surgical approaches address the structure of the joints with either arthrodesis or arthroplasty with or without an implant. In recent decades, denervation has been reported as an alternative treatment for painful small joints that are mobile and stable. Publications on denervation often report faster surgery and recovery times than traditional surgeries that manipulate the small joint bony structures. This article reviews the history, anatomy, surgical techniques, and outcomes of denervation of the small joints of the hand. (Copyright © 2024 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu