Trapeziometacarpal Joint Osteoarthritis : Diagnosis and Treatment / Simona Odella.
Odella, Simona.
2018
RC931.O67
Available Online

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Title Trapeziometacarpal Joint Osteoarthritis : Diagnosis and Treatment / Simona Odella.
Author Odella, Simona.
ISBN 9783319443362 (electronic book)
3319443364 (electronic book)
9783319443348
DOI https://doi.org/10.1007/978-3-319-44336-2
Publication Details Cham : Springer, 2018.
Language English
Description 1 online resource (108 pages)
Item Number 10.1007/978-3-319-44336-2 doi
Call Number RC931.O67
Dewey Decimal Classification 616.7/223
Summary This book describes the anatomy and biomechanics of the trapeziometacarpal joint and explains the pathogenesis and treatment of trapeziometacarpal joint osteoarthritis, also known as rhizarthrosis. The discussion of treatment sets out both conservative and surgical approaches, clearly explaining the indications for the various options, as well as their advantages and disadvantages. The trapeziometacarpal joint is a phylogenetically recent articulation that permits the pinching movements of the index finger and thumb so important in daily activities. Degenerative disease involving the trapeziometacarpal joint is an important disabling condition that affects predominantly females over 50 years old. Although a number of treatments are now available, there is no single gold standard. Conservative treatments can control pain yet are unable to halt progression of the articular aging, while none of the surgical solutions employed when conservative treatments prove insufficient can be considered perfect. For example, use of a spacer can restore strength but does not always completely alleviate pain while arthroplasty eradicates pain within a few weeks but cannot restore strength. In thoroughly reviewing the available treatments, this book will enable the practitioner to select the best option for the individual patient.
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Source of Description Descripition based on print version record.
Available in Other Form Trapeziometacarpal Joint Osteoarthritis : Diagnosis and Treatment.
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Intro; Preface; Contents; 1: Anatomy of the Trapeziometacarpal Joint; 1.1 Dorsoradial Ligament (DRL); 1.2 Posterior Oblique Ligament (POL); 1.3 Superficial Anterior Oblique Ligament (sAOL); 1.4 Deep Anterior Oblique Ligament (dAOL); 1.5 Ulnar Collateral Ligament (UCL); 1.6 Intermetacarpal Ligaments; 1.7 The Flexor Carpi Radialis and the Flexor Carpi Radialis Groove; References; 2: Physical and Radiological Evaluation; 2.1 Physical Evaluation; 2.2 Radiographic Evaluation; References; 3: Etiopathology; References; 4: Non-surgical Treatment; 4.1 Pharmacological Therapy.

4.1.1 Drug Treatment in the Early Stages4.1.2 Intra-articular Injection; 4.2 TMC Infiltration Technique; 4.2.1 Non-pharmacologic Treatments; 4.3 Orthoses; 4.4 Physical Therapy; 4.4.1 Physiotherapy Treatment; 4.4.2 Education Programme; References; 5: Portals in the Arthroscopy of the Wrist and of the Small Joints; 5.1 Dorsal Portals; 5.1.1 Portal 1/2; 5.1.2 Portal 3/4; 5.1.3 Portal 4/5; 5.1.4 Portal 6R; 5.1.5 Portal 6U; 5.2 Medio-carpal Radial (MCR) Portal; 5.2.1 Midcarpal Ulnar Portal (MCU); 5.2.2 Anterior Portals; 5.2.3 Volar Radial Portal (VR).

5.2.4 Ulnar Volar Portal (VU)5.3 Portals to STT; 5.3.1 STT Portal; 5.4 Trapezium-Metacarpal Portals; 5.4.1 Trapezium-Metacarpal Radial Portal (TMR, Also Called 1R); 5.4.2 Trapezoidal-Metacarpal-Ulnar Portal (TMU, Also Called 1U); 5.5 Radio-ulnar Distal (RUD) Articulation Portals [9, 10]; 5.5.1 Radio-ulnar Distal Lower (RUDL) Portal; 5.5.2 Proximal Lower Radio-ulnar Portal (PLRUP); References; 6: Trapeziometacarpal Joint Arthrosis: Arthroscopic Treatment; 6.1 The Trapeziometacarpal Joint Arthrosis; 6.2 Anatomy of the Trapeziometacarpal Joint [3]; 6.3 Classification.

6.4 Surgical Technique Brief6.5 Errors and Complications; References; 7: Surgical Approaches and Techniques; 7.1 Algorithm of Treatment; 7.2 Technique Description; 7.3 Surgical Approaches and Techniques: Interposition Implants and TM Joint Fusion; 7.3.1 Prosthesis Design; 7.3.2 Surgical Technique; 7.3.3 Surgical Technique; 7.3.3.1 Initial Incision and Capsular Exposure; 7.3.3.2 Metacarpal and Trapezial Resections; 7.3.3.3 Metacarpal and Trapezial Broaching; 7.3.3.4 Trapezial Preparation; 7.3.3.5 Metacarpal Preparation; 7.3.3.6 Trial Reduction; 7.3.3.7 Harvesting the Tendon.

7.3.3.8 Passing the Tendon Graft7.3.3.9 Final Close; 7.3.4 Surgical Technique; 7.3.5 Open Surgical Technique; 7.3.5.1 Surgical Technique; 7.4 Surgical Approaches: Arthroplasty Without Interposition Implants; References; Conclusions; References.

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