PDF(Pubmed)
Abstract：
BACKGROUND: Painful habitual instability of the thumb basal joint (PHIT) is a rarely diagnosed condition that can severely impair hand function. Furthermore, it can increase the risk of developing carpometacarpal arthritis of the thumb (CMAOT). Clinical examination and radiographic imaging provide the foundation for a correct diagnosis, but early detection is still challenging. We investigated two objective, radiographically obtainable parameters as potential risk factors for PHIT.
METHODS: Clinical data and radiographic images of 33 patients suffering from PHIT were collected and compared to those of 35 people serving as the control group. The two main objectives, the slope angle and the bony offset of the thumb joint, were gathered from the X-rays and statistically analyzed.
RESULTS: The analysis showed no differences between the study and the control group concerning the slope angle. Gender and the bony offset, on the other hand, had a significant influence. Female sex and higher offset values were associated with an increased risk of PHIT.
CONCLUSIONS: The results of this study prove a connection between a high bony offset and PHIT. We believe this information can be valuable in early detection and will allow more efficient treatment of this condition in the future.
METHODS: Clinical data and radiographic images of 33 patients suffering from PHIT were collected and compared to those of 35 people serving as the control group. The two main objectives, the slope angle and the bony offset of the thumb joint, were gathered from the X-rays and statistically analyzed.
RESULTS: The analysis showed no differences between the study and the control group concerning the slope angle. Gender and the bony offset, on the other hand, had a significant influence. Female sex and higher offset values were associated with an increased risk of PHIT.
CONCLUSIONS: The results of this study prove a connection between a high bony offset and PHIT. We believe this information can be valuable in early detection and will allow more efficient treatment of this condition in the future.
摘要：
背景：拇指基底关节（PHIT）的习惯性不稳定是一种很少诊断的疾病，可严重损害手功能。此外，它可以增加患拇指腕掌关节炎（CMAOT）的风险。临床检查和影像学检查为正确诊断提供了基础。但是早期检测仍然具有挑战性。我们调查了两个目标，影像学上可获得的参数作为PHIT的潜在危险因素。
方法：收集了33例PHIT患者的临床数据和X线图像，并与作为对照组的35例患者进行了比较。两个主要目标，拇指关节的倾斜角度和骨偏移，从X射线中收集并进行统计分析。
结果：分析显示，研究组和对照组在倾斜角方面没有差异。性别和骨骼偏移，另一方面,产生了重大影响。女性和较高的偏移值与PHIT风险增加相关。
结论：这项研究的结果证明了高骨偏移与PHIT之间的联系。我们相信这些信息在早期检测中很有价值，并且将来可以更有效地治疗这种疾病。
方法：收集了33例PHIT患者的临床数据和X线图像，并与作为对照组的35例患者进行了比较。两个主要目标，拇指关节的倾斜角度和骨偏移，从X射线中收集并进行统计分析。
结果：分析显示，研究组和对照组在倾斜角方面没有差异。性别和骨骼偏移，另一方面,产生了重大影响。女性和较高的偏移值与PHIT风险增加相关。
结论：这项研究的结果证明了高骨偏移与PHIT之间的联系。我们相信这些信息在早期检测中很有价值，并且将来可以更有效地治疗这种疾病。
