title: Little finger carpometacarpal arthroplasty technique and result in 3 cases.
abstract: OBJECTIVE
  To present our surgical technique and results for the treatment of posttraumatic arthritis of the little finger carpometacarpal (CMC) joint.
  
  
  METHODS
  We performed a retrospective review of 3 patients who underwent our surgical technique. All patients had previously sustained intra-articular fractures of the base of the little finger metacarpal and presented with painful posttraumatic arthritis of the fifth metacarpal-hamate joint. Patients were treated with little finger CMC arthroplasty and extensor carpi ulnaris suspensionplasty.
  
  
  RESULTS
  We observed the 3 patients in the office over a mean of 21 months and by telephone for a mean for 51 months postoperatively. They had improvements in wrist motion and grip strength. Finger motion remained stable. Pain and tenderness at the little finger CMC joint were eliminated.
  
  
  CONCLUSIONS
  Our technique provided satisfactory pain relief and motion preservation for posttraumatic arthritis of the little finger CMC joint.
  
  
  METHODS
  Therapeutic IV.
authors.affiliation: Philadelphia Hand Center, Thomas Jefferson University, Philadelphia, PA. Electronic address: jpruzansky27@gmail.com.
authors.forename: Jason S
authors.initials: JS
authors.lastname: Pruzansky
authors.affiliation: Philadelphia Hand Center, Thomas Jefferson University, Philadelphia, PA.
authors.forename: Peter
authors.initials: P
authors.lastname: Goljan
authors.affiliation: Philadelphia Hand Center, Thomas Jefferson University, Philadelphia, PA.
authors.forename: Abdo
authors.initials: A
authors.lastname: Bachoura
authors.affiliation: Philadelphia Hand Center, Thomas Jefferson University, Philadelphia, PA.
authors.forename: Sidney M
authors.initials: SM
authors.lastname: Jacoby
authors.affiliation: Philadelphia Hand Center, Thomas Jefferson University, Philadelphia, PA.
authors.forename: Randall W
authors.initials: RW
authors.lastname: Culp
mesh_terms: D000368:Aged; D001178:Arthroplasty / Q000379:methods*; D052737:Carpometacarpal Joints / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*; D005260:Female; D005383:Finger Injuries / Q000150:complications* / Q000000981:diagnostic imaging; D018737:Hand Strength; D006801:Humans; D008297:Male; D008875:Middle Aged; D010003:Osteoarthritis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D059408:Pain Management; D010147:Pain Measurement; D011859:Radiography; D016059:Range of Motion, Articular; D012189:Retrospective Studies; D013710:Tendons / Q000601:surgery
keywords: CMC arthritis; Little finger; arthroplasty; suspensionplasty