Treatment of scaphotrapezio-trapezoid arthritis.
Arthritis of the scaphotrapeziotrapezoid (STT) joint presents with deep thenar eminence and thumb basilar pain and is often coexistent with carpometacarpal arthritis of the thumb. Conservative treatment includes splinting and corticosteroid injections. Operative treatment consists primarily of fusion of the STT joint, although alternatives include trapeziectomy, fibrous arthroplasty, and prosthetic replacements. When STT arthritis is coexistent with carpometacarpal arthritis, excision of the trapezium and proximal 2 mm of trapezoid has been recommended. Complications of surgery include pericarpal arthrosis, superficial radial nerve injury, and nonunion.
Wolf
Jennifer Moriatis
JM
Department of Orthopaedics, University of Colorado Denver School of Medicine, 12631 East 17th Avenue, PO Box 6511, Mail Stop B202, Aurora, CO 80045, USA. jennifer.wolf@uchsc.edu
D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D001174:Arthrodesis; D001178:Arthroplasty; D050824:Carpal Joints / Q000033:anatomy & histology / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D010003:Osteoarthritis / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D021361:Scaphoid Bone / Q000033:anatomy & histology / Q000503:physiopathology / Q000601:surgery*; D013165:Splints; D051223:Trapezoid Bone / Q000033:anatomy & histology / Q000503:physiopathology / Q000601:surgery*
D000305:Adrenal Cortex Hormones