Document Detail


Ligament reconstruction of the painful, unstable, nonarthritic thumb carpometacarpal joint.
MedLine Citation:
PMID:  11466645     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Thirty-seven cases of ligament reconstruction of the nonarthritic thumb carpometacarpal joint were performed in 35 patients, 29 female and 6 male, between 1980 and 1996. Follow-up ranged from 1 to 17 years with an average of 5.2 years. The procedure described by Eaton and Littler in which a slip of the flexor carpi radialis (FCR) weaved through the first metacarpal and around the abductor pollicis longus and FCR was used. All patients had marked pain before surgery, and 65% were unable to work. No patient had radiographic evidence of arthritis before surgery. Sixty-seven percent had excellent results, and 30% had good results. All but 1 had complete or nearly complete pain relief. One hundred percent had good stability and improved pinch strength. All patients were able to return to work, 94% to their prior level of performance. There was no clinical or x-ray evidence of osteoarthritis in any patient at final follow-up.
Authors:
L B Lane; D H Henley
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of hand surgery     Volume:  26     ISSN:  0363-5023     ISO Abbreviation:  J Hand Surg Am     Publication Date:  2001 Jul 
Date Detail:
Created Date:  2001-07-23     Completed Date:  2001-09-27     Revised Date:  2009-06-08    
Medline Journal Info:
Nlm Unique ID:  7609631     Medline TA:  J Hand Surg Am     Country:  United States    
Other Details:
Languages:  eng     Pagination:  686-91     Citation Subset:  IM    
Affiliation:
Albert Einstein College of Medicine, New York, NY, USA.
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MeSH Terms
Descriptor/Qualifier:
Activities of Daily Living
Adult
Female
Humans
Joint Instability / surgery*
Ligaments, Articular / surgery*
Male
Middle Aged
Retrospective Studies
Thumb / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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