title: Dorsoradial capsulodesis for trapeziometacarpal joint instability.
abstract: We describe an alternative method for treating chronic trapeziometacarpal (TM) joint instability after acute injury or chronic repetitive use of the thumb by performing a dorsoradial capsulodesis procedure. The procedure is done by imbricating the redundant TM joint dorsoradial ligament and capsule after reducing the joint by pronating the thumb. The dorsoradial capsulodesis is a reasonable reconstructive option for chronic TM joint instability and subluxation.
authors.affiliation: Department of Orthopedic Surgery, INTEGRIS Baptist Medical Center, Oklahoma City, OK 73112, USA. ouhsgmr@aol.com
authors.forename: Ghazi
authors.initials: G
authors.lastname: Rayan
authors.forename: Viet
authors.initials: V
authors.lastname: Do
mesh_terms: D000328:Adult; D002908:Chronic Disease; D005260:Female; D005500:Follow-Up Studies; D018737:Hand Strength / Q000502:physiology; D006801:Humans; D017746:Joint Capsule / Q000503:physiopathology / Q000601:surgery*; D007593:Joint Instability / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D008662:Metacarpophalangeal Joint / Q000503:physiopathology / Q000601:surgery*; D010003:Osteoarthritis / Q000503:physiopathology / Q000601:surgery*; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology; D013933:Thumb / Q000293:injuries* / Q000503:physiopathology / Q000601:surgery; D051222:Trapezium Bone / Q000503:physiopathology / Q000601:surgery*