Post-traumatic arthrosis of the index carpometacarpal joint. A rationale for treatment and report of two cases.
Although a relatively rare entity, post-traumatic arthrosis of the carpometacarpal joint of the index finger can be a disabling problem. Its diagnosis must be differentiated from other sources of local pathology. A rationale to the diagnosis and treatment of this entity is presented, demonstrating the usefulness of test injections of xylocaine, an intra-articular injection of a steroid preparation when a relatively congruous joint exists, and arthrodesis of the joint when an incongruous joint is encountered.
Mt. Sinai Medical Center, Department of Orthopedic Surgery, Cleveland, OH 44106.
R M
RM
Konsens
W H
WH
Seitz
D000328:Adult; D001174:Arthrodesis / Q000379:methods; D002908:Chronic Disease; D005260:Female; D006801:Humans; D008012:Lidocaine / Q000627:therapeutic use; D008297:Male; D008663:Metacarpus / Q000293:injuries* / Q000601:surgery; D008775:Methylprednisolone / Q000627:therapeutic use; D010003:Osteoarthritis / Q000188:drug therapy / Q000209:etiology* / Q000503:physiopathology; D010146:Pain / Q000188:drug therapy* / Q000209:etiology; D014949:Wounds, Nonpenetrating / Q000150:complications*
D008012:Lidocaine; D008775:Methylprednisolone