Estudo comparativo entre ressecção do trapézio e interposição tendinosa com e sem ligamentoplastia no tratamento da artrose carpometacarpiana do polegar

Pardini, Arlindo G.; Freitas, Afrânio Donato de; Chaves, Antonio Barbosa; Freitas, Marcel Barbieri

doi:10.1590/s0102-36162008000200003

Cited by 2 publications

(5 citation statements)

References 27 publications

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“…In a comment on excision of the trapezium, Manske (29) speculated that the unsatisfactory results found by Gervis (9) and subsequently by Murley (25) and Iyer (26) could have been improved through simple postoperative immobilization of the thumb. Within our setting, Pardini Junior et al (30) confirmed that addition of ligamentoplasty to trapeziectomy with interposition did not present any advantages. We did not find in the literature any studies that prospectively analyzed surgical treatment with such variables.…”

Section: Discussionsupporting

confidence: 66%

Arthroplasty for Trapezium Excision and Tendon Interposition in Rhizarthrosis Cases: Prospective Study

Pinheiro

Chaim

Carvalho

et al. 2011

Revista Brasileira de Ortopedia (English Edition)

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Objective: To prospectively evaluate the results from a series of patients who underwent surgical treatment for rhizarthrosis using the technique of trapezium resection associated with interposition of yarn from the long abductor tendon of the thumb. Methods: From May to August 2005, ten patients underwent surgical treatment for rhizarthrosis. Patients with primary osteoarthrosis of the trapezium-metacarpal joint, in stages II, III and IV of the Eaton classification, with persistent pain that was refractory to clinical treatment, were included. For the functional assessment, the visual analogue scale, DASH questionnaire and Buck-Gramcko score were used. For the overall assessment on the patients, strength measurements were made for palm grip, pulp to pulp pinch, lateral pinch, three-point pinch, opposition and radial and palmar abductions. The migration index for the first metacarpal was also determined on radiographs at rest and under stress. Results: The pain relief was considered to be good (p = 0.005), with functional improvements in modules 2 (p = 0.02) and 3 (p = 0.022) of DASH. The Buck-Gramcko score showed one excellent and three very good results. There was an improvement in almost all of the overall assessment and was only non-significant regarding lateral pinch and abduction. For all patients, there was migration of the first metacarpal. Conclusion: Trapeziectomy associated with interposition of yarn from the long abductor tendon of the thumb was shown to be a relatively simple and effective technique for pain relief and functional improvement.

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Section: Discussionsupporting

confidence: 66%

Arthroplasty for Trapezium Excision and Tendon Interposition in Rhizarthrosis Cases: Prospective Study

Pinheiro

Chaim

Carvalho

et al. 2011

Revista Brasileira de Ortopedia (English Edition)

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“…The use of endoscopic techniques or special materials for CTS surgery, with the aim of diminishing these postoperative signs and symptoms and the possible complications, has a long learning curve and increases the cost of the procedure 3 , 12 , 15 , 16 , 19 , 20 , 21 .…”

Section: Discussionmentioning

confidence: 99%

“…CTS is the most common compressive neuropathy, and it occurs in 0.1% to 10% of the general population. The risk factors include obesity, hypothyroidism, diabetes mellitus, pregnancy, kidney disease, inflammatory arthritis, acromegaly, mucopolysaccharidosis, genetic predisposition, advanced age, smoking and repeated extreme flexion of the thumb at work 1 , 2 , 3 , 4 . According to Souza, CTS is the compressive neuropathy that is most associated with repetitive strain injury (5) .…”

Section: Introductionmentioning

confidence: 99%

“…A combination of findings from the clinical history and physical examination is more trustworthy than just one sign or symptom alone. CTS is accurately diagnosed in most cases when nocturnal pain, a positive Tinel test, a painful carpal tunnel compression test (Durkan test) and a positive Phalen test are found in association 1 , 3 , 6 , 8 , 9 . According to Howard, the Durkan test has the highest sensitivity for detecting CTS in the physical examination (2) .…”

Section: Introductionmentioning

confidence: 99%

“…Even in more severe cases, with thenar atrophy, surgical release of the median nerve provides a certain amount of symptom relief and some functional recovery (4) . Several well-controlled studies have shown that there are no benefits from microneurolysis, epineurectomy or tenosynovectomy for idiopathic CTS 1 , 2 , 3 , and these procedures should be carried out only in selected cases (4) .…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Prospective Comparative Study Between Proximal Transverse Incision and the Conventional Longitudinal Incisions for Carpal Tunnel Release

Alves¹

2010

Revista Brasileira de Ortopedia (English Edition)

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Carpal tunnel syndrome (CTS) is a pathological condition frequently seen in orthopedic consultation offices. It is most common compressive neuropathy and also the one most often treated surgically. CTS is usually diagnosed clinically, through the clinical history, physical examination (Tinel, Phalen and Durkan tests) and complementary examinations, and more specifically, nerve conduction studies. Ultrasound scans and magnetic resonance imaging may also be used. Conservative treatment is reserved for patients presenting with mild symptoms, with little incapacitation, who show good response to non-steroidal or steroidal anti-inflammatory drugs, physiotherapy and lifestyle changes. Surgical treatment is more frequent, and a variety of techniques are used. The goal of the surgery is to decompress the carpal tunnel and, by sectioning the transverse carpal ligament, release the median nerve. The aim of this paper was to compare surgical treatment of CTS by means of a transverse mini-incision made proximally to the carpal canal, with the classic longitudinal incision over the carpal canal. The mini-incision technique was shown to be less invasive and equally effective for treating CTS, with less morbidity than with the classic longitudinal incision.

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Estudo comparativo entre ressecção do trapézio e interposição tendinosa com e sem ligamentoplastia no tratamento da artrose carpometacarpiana do polegar

Abstract: Estudo comparativo entre ressecção do trapézio e interposição tendinosa com e sem ligamentoplastia no tratamento da artrose carpometacarpiana do polegar

Cited by 2 publications

References 27 publications

Arthroplasty for Trapezium Excision and Tendon Interposition in Rhizarthrosis Cases: Prospective Study

Arthroplasty for Trapezium Excision and Tendon Interposition in Rhizarthrosis Cases: Prospective Study

Prospective Comparative Study Between Proximal Transverse Incision and the Conventional Longitudinal Incisions for Carpal Tunnel Release

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