“…Between exercise sessions the thumb is protected by a splint during the fi rst 2-4 weeks. Recurrence rate of the deformity is rather high, as much as 64 % at 6 years [ 3 ].…”
“…Between exercise sessions the thumb is protected by a splint during the fi rst 2-4 weeks. Recurrence rate of the deformity is rather high, as much as 64 % at 6 years [ 3 ].…”
“…99 Nalebuff developed a classification system for the rheumatoid thumb by identifying the joint primarily responsible for deformity (Table 63.7). 102 In type II thumbs, a boutonnière deformity is also present but originates due to pathology at the CMC joint. Extensor force concentrates on the interphalangeal joint, causing hyperextension.…”
“…En cas de déformation évoluée, une arthroplastie de la TM associée à une capsuloplastie antérieure de la MP (visant à diminuer la distension de la plaque palmaire) pourra permettre la restauration de la fonction en particulier quand les autres articulations du pouce sont enraidies. L'arthrodèse en bonne position d'ouverture commissurale constitue une alternative à l'arthroplastie, associée à la libération de la première commissure (et du premier interrosseux dorsal), quand les articulations distales sont libres [47].…”
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