Document Detail

Osteotomy in the treatment of osteoarthritis of the first carpometacarpal joint.
MedLine Citation:
PMID:  6826626     Owner:  NLM     Status:  MEDLINE    
Degenerative changes of the first carpometacarpal joint commonly cause pain, weakness and adduction deformity. Many patients respond to conservative treatment, but in resistant cases an abduction wedge osteotomy of the base of the first metacarpal has been found to relieve symptoms with less complications than other operations. Twenty-one patients with 23 osteotomies have been reviewed, with a follow-up from 2 to 17 years. All have had lasting relief from pain and consider that they have full function, with no stiffness or limited abduction. Osteotomy is indicated mainly for cases where the arthritis is confined to the carpometacarpal joint, but also relieves pain in cases of peritrapezial arthritis.
J N Wilson; C J Bossley
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of bone and joint surgery. British volume     Volume:  65     ISSN:  0301-620X     ISO Abbreviation:  J Bone Joint Surg Br     Publication Date:  1983 Mar 
Date Detail:
Created Date:  1983-04-15     Completed Date:  1983-04-15     Revised Date:  2010-11-10    
Medline Journal Info:
Nlm Unique ID:  0375355     Medline TA:  J Bone Joint Surg Br     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  179-81     Citation Subset:  AIM; IM    
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MeSH Terms
Carpal Bones
Follow-Up Studies
Metacarpus / surgery
Middle Aged
Osteoarthritis / surgery*
Osteotomy / methods*
Wrist Joint / radiography,  surgery*

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