외상 후 발생한 무지의 수근중수관절의 불안정성에 대한 인대 재건술 = 3예 보고

국문 초록 (Abstract)

무지 수근중수관절 외상 후 관절염의 소견없이 불안정성을 보이는 경우 요수근굴건을 이용한 Eaton과 Little의 인대 재건술을 시행할 수 있다고 알려져 있으며, 이 치료방법은 심부전방경사인대의 재건을 목적으로 하는 방법으로 최근에 심부전방경사인대 외에도 요배측 인대가 관절의 안정성에 중요한 역할을 하는 것으로 밝혀지고 있어 이에 저자들은 무지 수근중수관절의 불안정성을 보이는 3예를 치료하여 이를 보고하고자 한다.

다국어 초록 (Multilingual Abstract)

Eaton and Littler's ligament reconstruction is used to treat carpometacarpal instability of the thumb using the flexor carpi radialis tendon. This procedure involves a reconstruction of the deep anterior oblique ligament in patients with post-traumatic prearthritic unstable joints. According to a recent paper, the dorsoradial ligament as well as the deep anterior oblique ligament plays an important role in stabilizing the trapeziometacarpal joint. We report three cases of post-traumatic instability in a prearthritic thumb that was treated with Eaton and Littler's reconstruction using the flexor carpi radialis tendon.

목차 (Table of Contents)

• 증례 보고
• 고찰
• 결론
• 참고문헌
• 국문초록

참고문헌 (Reference)

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2 Edmunds JO, "Traumatic dislocations and instability of the trapeziometacarpal joint of the thumb" 22 : 365-392, 2006

3 Shrivastava N, "Simulated extension osteotomy of the thumb metacarpal reduces carpometacarpal joint laxity in lateral pinch" 28 : 733-738, 2003

4 Takwale VJ, "Post-traumatic instability of the trapeziometacarpal joint of the thumb. Diagnosis and the results of reconstruction of the beak ligament" 86 : 541-545, 2004

5 Eaton RG, "Ligament reconstruction for the painful thumb carpometacarpal joint" 55 : 1655-1666, 1973

6 Bettinger PC, "Functional ligamentous anatomy of the trapezium and trapeziometacarpal joint (gross and arthroscopic)" 17 : 151-168, 2001

7 Pellegrini VD Jr, "Extension metacarpal osteotomy in the treatment of trapeziometacarpal osteoarthritis: a biomechanical study" 21 : 16-23, 1996

8 Colman M, "Effects of the deep anterior oblique and dorsoradial ligaments on trapeziometacarpal joint stability" 32 : 310-317, 2007

9 Jebsen RH, "An objective and standardized test of hand function" 50 : 311-319, 1969

10 Ozer K, "A new surgical technique for the ligament reconstruction of the trapeziometacarpal joint" 10 : 181-186, 2006