Current Concepts of the Anatomy of the Thumb Trapeziometacarpal Joint

被引:93
|
作者
Edmunds, J. Ollie [1 ]
机构
[1] Tulane Univ, Sch Med, New Orleans, LA 70112 USA
来源
JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 2011年 / 36A卷 / 01期
关键词
Anatomy; opposition; osteoarthritis; screw home torque; trapeziometacarpal joint; CARPOMETACARPAL JOINT; LIGAMENT RECONSTRUCTION; ARTICULAR-CARTILAGE; CARPAL-TUNNEL; WRIST ANATOMY; WEAR PATTERNS; OSTEOARTHRITIS; DISLOCATIONS; ARTHROPLASTY; HAND;
D O I
10.1016/j.jhsa.2010.10.029
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
This review article describes the anatomy of the thumb trapeziometacarpal joint. In the final phase of opposition screw home torque rotation of the volar beak of the thumb metacarpal in the pivot area of the trapezium recess and tension on the dorsal ligament complex create stability for power pinch and power grip. The resulting compressive shear forces can lead over time to trapeziometacarpal joint osteoarthritis. (J Hand Surg 2011;36A:170-182. Copyright (C) 2011 by the American Society for Surgery of the Hand. All rights reserved.)
引用
收藏
页码:170 / 182
页数:13
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