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Rhizarthrose

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Book cover Handchirurgie

Zusammenfassung

Bei der Rhizarthrose handelt es sich meist um eine idiopathische Arthrose des Daumensattelgelenks, an der häufig Frauen im mittleren Alter erkranken. Selten tritt die Rhizarthrose posttraumatisch auf. Die Röntgenuntersuchung ist hilfreich, sowohl bei der Diagnosestellung als auch bei der Therapieplanung. Die konservative als auch die operative Therapie spielen in der Behandlung der Rhizarthrose eine wichtige Rolle. Ziel der Therapie ist die Schmerzreduktion, bei größtmöglicher Erhaltung der Beweglichkeit und Kraft.

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Weiterführende Literatur

  • Armstrong AL, Hunter JB, Davis TR (1994) The prevalence of degenerative arthritis of the base of the thumb in post-menopausal women. J Hand Surg (Br) 19(3): 340–341

    CAS  Google Scholar 

  • Athesian GA, Rosenwasser MP, Mow VC (1992) Curvature characteristics and congruence of the thumb carpometacarpal joint: differences between female and male joints. J Biomechanics 25: 591–607

    Article  Google Scholar 

  • Badia A (2007) Arthroscopy of the trapeziometacarpal and metacarpophalangeal joints. J Hand Surg (Am) 32(5): 707–724

    Article  Google Scholar 

  • Badia A, Khanchandani P (2007) Treatment of early basal joint arthritis using a combined arthroscopic debridement and metacarpal osteotomy. Tech Hand Up Extrem Surg. 11(2): 168–173

    Article  PubMed  Google Scholar 

  • Bettinger PC, Linscheid RL, Berger RA, Cooney WP 3rd, An KN (1999) An anatomic study of the stabilizing ligaments of the trapezium and trapeziometacarpal joint. J Hand Surg (Am) 24(4): 786–798

    Article  CAS  Google Scholar 

  • Berger RA (1997) A technique for arthroscopic evaluation of the first carpometacarpal joint. J Hand Surg (Am) 22: 1077–1080

    Article  CAS  Google Scholar 

  • Berggren M, Joost-Davidsson A, Lindstrand J, Nylander G, Povlsen B (2001) Reduction in the need for operation after conservative treatment of osteoarthritis of the first carpometacarpal joint: A seven year prospective study. Scand J Plast Reconstr Surg Hand Surg 35: 415–417

    Article  PubMed  CAS  Google Scholar 

  • Brunelli G, Monini L, Brunelli F (1989) Stabilisation of the trapezio-metacarpal joint. J Hand Surg (Br) 14(2): 209–212

    CAS  Google Scholar 

  • Buck-Gramcko D (1972) Operative Behandlung der Sattelgelenksarthrose des Daumens. Handchirurgie 4: 105–109

    PubMed  CAS  Google Scholar 

  • Burton RI (1983) The arthritic hand. In: Evarts CM (Hrsg) Surgery of the muscoskeletal system. Churchill Livingstone, New York, S 670–681

    Google Scholar 

  • Burton RI, Pellegrini VD (1986) Surgical management of basal joint arthritis of the thumb. Part II: Ligament reconstruction with tendon interposition arthroplasty. J Hand Surg (Am) 11: 324–332

    CAS  Google Scholar 

  • Conolly WB, Rath S (1993) Revision procedures for complications of surgery for osteoarthritis of the carpometacarpal joint of the thumb. J Hand Surg (Br) 18(4): 533–539

    CAS  Google Scholar 

  • Cooney WP 3rd, Chao EY (1977) Biomechanical analysis of static forces in the thumb during hand function. J Bone Joint Surg (Am) 59(1): 27–36

    Google Scholar 

  • Doerschuk SH, Hicks DG, Chinchilli VM, Pellegrini VD (1999) Histopathology of the palmar beak ligament in trapeziometacarpal osteoarthritis. J Hand Surg (Am) 24: 496–504

    Article  CAS  Google Scholar 

  • Doyle JR, Botte MJ (2003) Surgical anatomy of the hand & upper extremity. Lippincott, Williams &Williams

    Google Scholar 

  • Eaton RG, Lane LB, Littler JW, Keyser JJ (1984) Ligament reconstruction for the painful thumb carpometacarpal joint: a long-term. assessment. J Hand Surg (Am) 9(5): 692–699

    CAS  Google Scholar 

  • Eaton RG, Floyd WE (1988) Thumb metacarpophalangeal capsulodesis: an adjunct procedure to basal joint arthroplasty for collapse deformity of the first ray. J Hand Surg (Am) 13: 461–465

    Article  Google Scholar 

  • Eaton RG, Littler JW (1973) Ligament reconstruction for the painful thumb carpometacarpal joint. J Bone Joint Surg (Am) 55(8): 1655–1666

    CAS  Google Scholar 

  • Epping W, Noack G (1983) Die operative Behandlung der Sattelgelenksarthrose. Handchirurgie 15: 168–176

    CAS  Google Scholar 

  • Epping W (1989) Die Suspensionsplastik zur Behandlung der Sattelgelenksarthrose. Operat Orthop. Traumatol. 100–108

    Google Scholar 

  • Forestier J (1937) L`ostéo-arthrite séche trapézio-métacarpienne (rhizarthrose du pouche). Presse Med. 45, 315–317

    Google Scholar 

  • Geldmacher J, Woppmann NL (1994) Die Daumensattelgelenksarthrose und ihre Behandlung. In: Buck-Gramcko D, Helbig B (Hrsg) Daumensattelgelenksarthrose. Hippokrates, Stuttgart, S 20–40

    Google Scholar 

  • Gervis WH (1949) Excision of the trapezium for osteoarthritis of the trapeziometacarpal joint. J Bone Joint Surg (Br) 31: 537–539

    Google Scholar 

  • Haara MM, Heliövaara M, Kröger H, Arokoski JP, Manninen P, Kärkkäinen A, Knekt P, Impivaara O, Aromaa A (2004) Osteoarthritis in the carpometacarpal joint of the thumb. Prevalence and associations with disability and mortality. J Bone Joint Surg (Am) 86(7): 1452–1457

    Google Scholar 

  • Hartigan BJ, Stern PJ, Kiefhaber TR (2001) Thumb carpometacarpal osteoarthritis: arthrodesis compared with ligament reconstruction and tendon interposition. J Bone Joint Surg (Am) 83: 1470–1478

    Google Scholar 

  • Herren DB, Lehmann O, Simmen BR (1998) Does trapeziectomy destabilize the carpus? J Hand Surg (Br) 23: 676–679

    CAS  Google Scholar 

  • Hilty M, Stober R (1996) Ergebnisse nach Rhizarthrosebehandlung mit Trapezektomie und Aufhangeplastik nach Epping. Klinische Nachuntersuchung. Handchir Mikrochir Plast Chir 28: 15–21

    PubMed  CAS  Google Scholar 

  • Hobby JL, Lyall HA, Meggitt BF (1998) First metacarpal osteotomy for trapeziometacarpal osteoarthritis. J Bone Joint Surg (Br) 80(3): 508–512

    Article  CAS  Google Scholar 

  • Horch R, Stark GB (1995) Abductor pollicis brevis muscle-plasty for therapy of radial collateral ligament rupture of the thumb base joint. Zentralbl Chir. 120(12): 959–962

    PubMed  CAS  Google Scholar 

  • Horch RE, Dragu A, Polykandriotis E, Kneser U (2006) Radial collateral ligament repair of the thumb metacarpophalangeal joint using the abductor pollicis brevis tendon. Plast Reconstr Surg. 117(2): 491–496

    Article  PubMed  CAS  Google Scholar 

  • Imaeda T, An KN, Cooney WP 3rd, Linscheid R (1993) Anatomy of trapeziometacarpal ligaments. J Hand Surg (Am) 18(2): 226–231

    Article  CAS  Google Scholar 

  • Irwin AS, Maffulli N, Chesney RB (1995) Scaphotrapezoid arthritis: A cause of residual pain after arthroplasty of the trapeziometacarpal joint. J Hand Surg (Br) 20: 346–352

    CAS  Google Scholar 

  • Klimo GF, Verma RB, Baratz ME (2001) The treatment of trapeziometacarpal arthritis with arthrodesis. Hand Clin 17: 261–270

    PubMed  CAS  Google Scholar 

  • Koebke J, Thomas W, Winter HJ (1983) Die Bedeutung des Knochenspornes an der Basis des zweiten Mittelhandknochens für die Pathogenese der Daumensattelgelenksarthrose. Z Orthop Ihre Grenzgeb. 121(1): 108–112

    Article  PubMed  CAS  Google Scholar 

  • Koebke J, Thomas W (1979) Biomechanische Untersuchungen zur Ätiologie der Daumensattelgelenksarthrose. Z Orthop Ihre Grenzgeb. 117(6): 988–994

    PubMed  CAS  Google Scholar 

  • Kriegs-Au G, Petje G, Fojtl E, Ganger R, Zachs I (2004) Ligament reconstruction with or without tendon interposition to treat primary thumb carpometacarpal osteoarthritis. A prospective randomized study. J Bone Joint Surg (Am) 86(2): 209–218

    Google Scholar 

  • Lanz T von, Wachsmuth W (1959) Praktische Anatomie, 1. Band, 3. Teil Arm, 2. Aufl. Springer, Berlin

    Google Scholar 

  • Loréa PD (2003) First carpometacarpal joint denervation: anatomy and surgical technique. Tech Hand Up Extrem Surg. 7(1): 26–31

    Article  PubMed  Google Scholar 

  • Lourie GM (2001) The role and implementation of metacarpophalangeal joint fusion and capsulodesis: Indications and treatment alternatives. Hand Clin 17: 255–260

    PubMed  CAS  Google Scholar 

  • Martini AK (1985) Die operative Behandlung der Daumensattelgelenksarthrose. Z Orthop Ihre Grenzgeb. 123(1): 44–53

    Article  PubMed  CAS  Google Scholar 

  • Mascharka Z (2001) Die Behandlung der Hyperextensionsinstabilität des Daumengrundgelenkes mit der Sesambeinarthrodese. Handchir Mikrochir Plast Chir. 33(5): 349–353

    Article  PubMed  CAS  Google Scholar 

  • Merk R, Rudigier J (2002) Die Denervierung von Fingergelenken als Alternative zur Arthrose und Endoprothese. Handchir Mikrochir Plast Chir. 34(3): 182–186

    Article  PubMed  CAS  Google Scholar 

  • North ER, Eaton RG (1983) Degenerative arthritis of the trapezium: a comparative roentgenologic and anatomic study. J Hand Surg (Am) 8: 160–166

    CAS  Google Scholar 

  • Nyszkiewicz R, Neumann R (2001) Erfahrungen mit der Eaton-Littler-Plastik zur Therapie der Bandinstabilität am Daumensattelgelenk. Handchir Mikrochir Plast Chir. 33(6): 424–430

    Article  PubMed  CAS  Google Scholar 

  • Pellegrini VD Jr, Parentis M, Judkins A, Olmstead J, Olcott C (1996) Extension metacarpal osteotomy in the treatment of trapeziometacarpal osteoarthritis: a biomechanical study. J Hand Surg (Am) 21: 16–23

    Article  Google Scholar 

  • Pellegrini VD Jr, Olcott CW, Hollenberg G (1993) Contact patterns in the trapezio-metacarpal joint: the role of the palmar beak ligament. J Hand Surg (Am) 18: 238–251

    Article  Google Scholar 

  • Pellegrini VD Jr (2001) Pathomechanics of the thumb trapeziometacarpal joint. Hand Clin. 17(2): -184

    Google Scholar 

  • Pellegrini VD Jr, Burton RI (1990) Osteoarthritis of the proximal interphalangeal joint of the hand: Arthroplasty or fusion? J Hand Surg (Am) 15: 194–209

    Article  Google Scholar 

  • Pellegrini VD Jr (1992) Osteoarthritis at the base of the thumb. Orthop Clin North Am. 23(1): 83–102

    PubMed  Google Scholar 

  • Saffar P. (1990) La Rhizarthrose, Monographie du groupe d’etudes de la Main. Expansion scientifique francaise, Paris

    Google Scholar 

  • Schmidt HM, Lanz U (2003) Chirurgische Anatomie der Hand. Thieme, Stuttgart

    Google Scholar 

  • Schmitt R, Lanz U (2004) Bildgebende Diagnostik der Hand. Thieme, Stuttgart

    Google Scholar 

  • Sigfusson R, Lundborg G (1991) Abductor pollicis longus tendon arthroplasty for treatment of arthrosis in the first carpometacarpal joint. Scand J Plast Reconstr Surg Hand Surg. 25(1): 73–77

    Article  PubMed  CAS  Google Scholar 

  • Simmen BR, Gschwend N, Nigst H (1994) Operative Behandlung der Sattelgelenksarthrose. In: Buck-Gramcko, D, Helbig, B (Hrsg) Daumensattelgelenksarthrose. Stuttgart: Hippokrates, S 91–123

    Google Scholar 

  • Specht J, Schmitt M, Pfeil J (2007) Technische Orthopädie - Orthesen und Schuhzurichtungen. Springer, Heidelberg

    Google Scholar 

  • Swanson AB (1972) Disabling arthritis at the base of the thumb: Treatment by resection of the trapezium and flexible (Silicone) implant arthroplasty. J Bone Joint Surg (Am) 54(3): 456–471

    CAS  Google Scholar 

  • Swanson AB, deGoot Swanson G, Watermeier JJ (1981) Trapezium implant arthroplasty. Long-term evaluation of 150 cases. J Hand Surg (Am) 6(2): 125–141

    CAS  Google Scholar 

  • Tillmann B (2009) Atlas der Anatomie des Menschen. Springer, Heidelberg

    Google Scholar 

  • Tomaino MM, Vogt M, Weiser R (1999) Scaphotrapezoid arthritis: Prevalence in thumbs undergoing trapezium excision arthroplasty and efficacy of proximal trapezoid excision. J Hand Surg (Am) 24: 1220–1224

    Article  CAS  Google Scholar 

  • Tomaino MM, Pellegrini VD, Burton RI (1995) Arthroplasty of the basal joint of the thumb: long-term follow-up after ligament reconstruction with tendon interposition. J Bone Joint Surg (Am) 77: 346–355

    CAS  Google Scholar 

  • Unglaub F, Kall S, Reiter A, Hahn P (2005) Tendovaginosis stenosans. Was nützt eine Injektionstherapie? Z Orthop Ihre Grenzgeb. 143(4): 475–478

    Article  PubMed  CAS  Google Scholar 

  • Unglaub F, Wolf E, Goldbach C, Hahn P, Kroeber MW (2008) Subjective and functional outcome after revision surgery in carpal tunnel syndrome. Arch Orthop Trauma Surg. 128(9): 931–936

    Article  PubMed  Google Scholar 

  • Weilby A (1988) Tendon interposition arthroplasty of the first carpo-metacarpal joint. J Hand Surg (Br) 13: 421–425

    CAS  Google Scholar 

  • Weiss S, LaStayo P, Mills A, Bramlet D (2000) Prospective analysis of splinting the first carpometacarpal joint: an objective, subjective, and radiographic assessment. J Hand Ther 13: 218–251

    PubMed  CAS  Google Scholar 

  • Wilhelm A (1972) Die Eingriffe zur Schmerzausschaltung durch Denervation. In: Wachsmuth W, Wilhelm A (Hrsg) Die Operationen an den Extremitäten. Band 10, Teil 3: Die Operationen an der Hand. Allgemeine und spezielle chirurgische Operationslehre. Springer, Berlin Heidelberg, S 264–285

    Google Scholar 

  • Wilson JN (1973) Basal osteotomy of the first metacarpal in the treatment of arthritis of the carpometacarpal joint of the thumb. Br J Surg. 60(11): 854–858

    Article  PubMed  CAS  Google Scholar 

  • Xu L, Strauch RJ, Ateshian GA, Pawluk RJ, Mow VC, Rosenwasser MP (1998) Topography of the osteoarthritic thumb carpometacarpal joint and its variations with regard to gender,age, and osteoarthritic stage. J Hand Surg (Am) 23: 454–464

    Article  CAS  Google Scholar 

  • Young SD, Mikola EA (2004) Thumb carpometacarpal arthrosis. J Hand Surg (Am) 4: 73–93

    Google Scholar 

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Authors and Affiliations

  1. Plastische und Handchirurgische Klinik, Universitätsklinikum Erlangen, Krankenhausstraße 12, 91054, Erlangen

    Prof. Dr. med. Raymund E. Horch

  2. Vulpiusklinik, Vulpiusstraße 29, 74096, Bad Rappenau

    PD Dr. med. Frank Unglaub (Handchirurgie)

Authors
  1. Prof. Dr. med. Raymund E. Horch
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  2. PD Dr. med. Frank Unglaub
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Editors and Affiliations

  1. Abteilung für Handchirurgie, Mikrochirurgie und Plastische Wiederherstellungschirurgie, St.-Barbara-Klinik Hamm, Heessener Wald 1, 59073, Hamm

    Hossein Towfigh

  2. Plastische, Rekonstruktive, Ästhetische und Handchirurgie Zentrum für Interdisziplinäre Rekonstruktive Chirurgie Referenzzentrum für periphere Nerven und Plexus brachialis Universitätsklinikum Essen, Universität Duisburg-Essen, Hufelandstraße 55, 45147, Essen

    Robert Hierner

  3. Klinik- und Poliklinik für Unfall-, Hand- und Wiederherstellungschirurgie, Westfälische Wilhelms-Universität Münster, Waldeyerstraße 1, 48149, Münster

    Martin Langer

  4. Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Jena, Erlanger Allee 101, 07747, Jena

    Reinhard Friedel

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Horch, R., Unglaub, F. (2011). Rhizarthrose. In: Towfigh, H., Hierner, R., Langer, M., Friedel, R. (eds) Handchirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-11758-9_51

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  • DOI: https://doi.org/10.1007/978-3-642-11758-9_51

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