Degenerative arthrosis

2000 ◽  
Vol 29 (10) ◽  
pp. 909-916 ◽  
Author(s):  
N. Wülker
Keyword(s):  
Degenerative Arthrosis

scholarly journals Po laivelio pseudoartrozės įvykusio riešo kolapso eiga ir gydymas

2003 ◽  
Vol 1 (4) ◽  
pp. 0-0
Author(s):  
Arūnas Jankauskas
Keyword(s):  
Treatment Plan ◽  
Scaphoid Nonunion ◽  
Scapholunate Ligament ◽  
Carpal Collapse ◽  
Complete Excision ◽  
Joint Surfaces ◽  
Degenerative Arthrosis ◽  
Three Stages ◽  
Midcarpal Joint ◽  
Midcarpal Arthrodesis

Arūnas JankauskasVilniaus universiteto Ortopedijos, traumatologijosir plastinės chirurgijos klinikaVilniaus greitosios pagalbos universitetinė ligoninėŠiltnamių g. 29, LT-2043 VilniusEl paštas: [email protected] Esant nestabiliai laivelio pseudoartrozei, riešo sąnarys neišvengiamai deformuojasi, prasideda artrozė ir sumažėja sąnario aukštis. Tokia riešo sąnario būklė vadinama riešo kolapsu. Degeneraciniai pokyčiai pasireiškia varginamais skausmais, kontraktūra ir plaštakos jėgos susilpnėjimu. Artrozė prasideda ties stipinkaulio yline atauga ir pasiekusi antrą stadiją išplinta stipininiame laivelio sąnaryje. Trečios stadijos artrozė pažeidžia riešo vidurinį sąnarį, tačiau stipininis mėnulio sąnarys lieka nepakitęs. Dėl antros ir trečios stadijos artrozės išplitimo rekonstruoti laivelį netikslinga. Reikia likviduoti artrozės židinius ir stabilizuoti riešo sąnarį taisyklingoje padėtyje. Pašalinamas laivelis ir atkuriamas riešo aukštis. Atliekama riešo vidurinio sąnario artrodezė. Stipininio mėnulio sąnario judesiai išsaugomi. Prasminiai žodžiai: laivelio pseudoartrozė, riešo kolapsas, riešo vidurinio sąnario artrodezė Scaphoid nonunion advanced collapse: development and treatment plan Arūnas Jankauskas Longstanding and untreatet scaphoid nonunion leads to painful destruction of the wrist with carpal collapse (scaphoid nonunion advanced collapse). The severity of degenerative arthrosis is classified into three stages and can be treated operatively. The reconstruction of the scaphoid or scapholunate ligament in stages II and III is not a reasonable option. With complete excision of the scaphoid and fusion of the midcarpal joint, all arthritic joint surfaces are eliminated and motion is preserved in the radiolunate joint, which is usually spared of degenerative changes. Keywords: scaphoid nonunion, carpal collapse, midcarpal arthrodesis

Operative Management of Patellofemoral Pain With Degenerative Arthrosis

2001 ◽  
Vol 9 (4) ◽  
pp. 312-324 ◽  
Author(s):  
Todd M. Herrenbruck ◽  
Daniel J. Mullen ◽  
Richard D. Parker
Keyword(s):  
Operative Management ◽  
Patellofemoral Pain ◽  
Degenerative Arthrosis

Upper-extremity Problems in Musicians Related to Age

2002 ◽  
Vol 17 (3) ◽  
pp. 131-134
Author(s):  
Joan Warrington ◽  
Ian Winspur ◽  
Daniel Steinwede
Keyword(s):  
Cross Section ◽  
Age Groups ◽  
Music Students ◽  
Nerve Compression Syndromes ◽  
Hand Therapy ◽  
Hand Pain ◽  
Degenerative Arthrosis ◽  
Over 40 Years ◽  
Different Sources ◽  
Therapy Department

This is a review of 140 musicians referred to a specialist hand therapy department in London, England. Musicians are referred from different sources and represent a fair cross-section. The musicians were analyzed in three different age groups: under 25 years of age, 25–40 years of age, and over 40 years of age; and by three different pathological groups: “trauma,” “degenerative,” and “non-specific arm and hand pain.” The results highlight three points: 1) Musicians of all ages are injured in coincidental accidents (“trauma”). 2) As musicians age, they are more likely to develop “degenerative” upper limb conditions such as Dupuytren’s contracture, nerve compression syndromes, or degenerative arthrosis in critical joints. 3) Non-specific arm and hand pain is overwhelmingly prevalent in young musicians and music students but is much less prevalent in the older age groups. This last point is the most worrisome statistic and perhaps the most preventable.

Basal Joint Arthrosis

1996 ◽  
Vol 21 (2) ◽  
pp. 177-181 ◽  
Author(s):  
R. K. KADIYALA ◽  
R. H. GELBERMAN ◽  
B. KWON
Keyword(s):  
Ligament Reconstruction ◽  
Proximal Phalanx ◽  
Joint Arthroplasty ◽  
Interposition Arthroplasty ◽  
Basal Joint ◽  
Before And After ◽  
Ligamentous Reconstruction ◽  
Degenerative Arthrosis ◽  
Tendon Interposition ◽  
Space Ratio

A radiographic method was developed, the trapezial space ratio, for assessing the space occupied by the trapezium (a space defined by the distal scaphoid and thumb metacarpal base divided by the thumb proximal phalanx). This method was applied to 100 normal thumb radiographs and to the radiographs of 15 patients with symptomatic degenerative arthrosis of the thumb basal joint before and after operative treatment with ligamentous reconstruction and tendon interposition arthroplasty. The trapezial space ratio averaged 0.476 ± 0.033 for radiographs of normal thumbs, 0.372 ± 0.084 for the pre-operative radiographs of thumbs with symptomatic basal joint arthrosis, and 0.270 ± 0.078 for the radiographs of thumbs following basal joint arthroplasty. A significant reduction in the trapezial space ratio was noted when values from arthritic thumbs were compared to those of normal thumbs (22%; P<0.0001). A further reduction in the trapezial space ratio was noted when post-operative values were compared to pre-operative ones (27%; P< 0.0002). Comparing post-operative trapezial space ratio values to values obtained in normal thumbs, a reduction of 43% was found in those thumbs treated operatively. These finding indicate that the trapezial space is reduced significantly in thumbs with severe degenerative arthrosis compared to normal thumbs and that ligament reconstruction tendon interposition arthroplasty is not entirely successful in either restoring or maintaining the length of the thumb ray.

16 Post-traumatic Degenerative Arthrosis in the Manubriosternal Joint

1969 ◽  
Vol 67 (6) ◽  
pp. 111???115 ◽  
Author(s):  
HENRY M. LITCHMAN ◽  
CAROLL M. SILVER ◽  
STANLEY D. SIMON ◽  
HISASHI TAMURA
Keyword(s):  
Manubriosternal Joint ◽  
Post Traumatic ◽  
Degenerative Arthrosis

A Comparison of Different Surgical Techniques in Treating Degenerative Arthrosis of the Carpometacarpal Joint of the Thumb

1995 ◽  
Vol 20 (1) ◽  
pp. 105-110 ◽  
Author(s):  
M. LANZETTA ◽  
G. FOUCHER
Keyword(s):  
Soft Tissue ◽  
Surgical Techniques ◽  
Silicone Implants ◽  
Carpometacarpal Joint ◽  
Degenerative Arthrosis ◽  
Group 3 ◽  
The Mean ◽  
Group 2 ◽  
Group 1

Between March 1977 and December 1991, 98 surgical procedures on 85 patients were performed at SOS Main Strasbourg for osteoarthrosis of the carpometacarpal joint of the thumb. The mean age was 56 and 90% were female; 13 were operated on bilaterally. 40% had Swanson arthroplasties (group 1), 15% Ashworth-Blatt hemiarthroplasties (group 2), and 45% had soft tissue arthroplasties (group 3). 62 cases were reviewed at an average follow-up of 5 years. Normal thumb range of motion was obtained in all cases, regardless of the technique used. Complete pain relief was achieved in 77% of the cases in group 1, 37.5% in group 2 and 71% in group 3. 15% of group 1 and 50% of group 2 required surgical revision, either for displacement or fracture of the implants. No revision was necessary in group 3. One case of silicone synovitis requiring secondary surgery was noted 6 years after surgery, accounting for 2.9% of the total number of silicone implants reviewed, but radiological signs of silicone synovitis were much more common (56%). Proximal metacarpal migration in group 3 averaged 38% of the initial arthroplasty space, and was not related to the type of ligamentoplasty used, or presence or absence of an “anchovy”. The migration increased to 68% of the space if an associated MP joint arthrodesis was carried out at the same time. Complications included reflex sympathetic dystrophy (4% in group 1 and 14% in group 3). The Ashworth-Blatt hemiarthroplasty failed to gain satisfactory results, but both silicone arthroplasty and soft tissue arthroplasty proved to be useful procedures. However, due to the risk of synovitis the present treatment of choice is soft tissue arthroplasty.

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