Abstract：
OBJECTIVE: De Quervain\'s tendinitis is frequently observed after placement of a trapeziometacarpal prosthesis. The aim of this study was to investigate the relationship between De Quervain\'s tendinitis, osteoarthritis of the thumb and placement of a trapeziometacarpal prosthesis. The second aim was a critical analysis of the literature in search of a cause for this postoperative event after arthroplasty or trapeziectomy.
METHODS: We reviewed a series of 331 trapeziometacarpal prostheses.
RESULTS: There were no differences in thumb column length, gender, type of neck (straight or angled), or surgical approach between patients who developed De Quervain\'s tendinitis and those who did not. However, the frequency of De Quervain\'s tendinitis was much higher after arthroplasty than trapeziectomy.
CONCLUSIONS: We believe that the preoperative frequency of De Quervain\'s tendinitis in trapeziometacarpal osteoarthritis is underestimated, being part of a more general pain symptomatology. More precise and specific examination is needed for a better preoperative diagnosis. Trapeziometacarpal osteoarthritis should be considered within a more global framework of peri-trapeziometacarpal pathology, including the trapeziometacarpal and triscaphoid levels, the articular ligaments and the abductor pollicis longus, extensor pollicis brevis, flexor pollicis longus, and flexor carpi radialis tendons.
METHODS: We reviewed a series of 331 trapeziometacarpal prostheses.
RESULTS: There were no differences in thumb column length, gender, type of neck (straight or angled), or surgical approach between patients who developed De Quervain\'s tendinitis and those who did not. However, the frequency of De Quervain\'s tendinitis was much higher after arthroplasty than trapeziectomy.
CONCLUSIONS: We believe that the preoperative frequency of De Quervain\'s tendinitis in trapeziometacarpal osteoarthritis is underestimated, being part of a more general pain symptomatology. More precise and specific examination is needed for a better preoperative diagnosis. Trapeziometacarpal osteoarthritis should be considered within a more global framework of peri-trapeziometacarpal pathology, including the trapeziometacarpal and triscaphoid levels, the articular ligaments and the abductor pollicis longus, extensor pollicis brevis, flexor pollicis longus, and flexor carpi radialis tendons.
摘要：
目的：放置梯形掌骨假体后经常观察到DeQuervain的肌腱炎。本研究的目的是调查DeQuervain肌腱炎之间的关系，拇指骨关节炎和梯形掌骨假体的放置。第二个目的是对文献进行批判性分析，以寻找关节成形术或梯形切除术后该术后事件的原因。
方法：我们回顾了一系列331个梯形掌骨假体。
结果：拇指柱长度没有差异，性别,颈部类型（直的或成角度的），或在发生DeQuervain肌腱炎的患者和未发生的患者之间进行手术。然而,关节置换术后，DeQuervain肌腱炎的发生率远高于梯形切除术。
结论：我们认为曲眼掌骨性关节炎术前发生的屈膝肌腱炎的频率被低估了，是更普遍的疼痛症状学的一部分。为了更好的术前诊断，需要更精确和具体的检查。梯形掌骨骨关节炎应在更全面的梯形掌骨周围病理学框架内考虑。包括梯形掌骨和三足骨水平，关节韧带和长肌外展肌,短花粉伸肌,长屈肌，和桡骨腕屈肌腱。
方法：我们回顾了一系列331个梯形掌骨假体。
结果：拇指柱长度没有差异，性别,颈部类型（直的或成角度的），或在发生DeQuervain肌腱炎的患者和未发生的患者之间进行手术。然而,关节置换术后，DeQuervain肌腱炎的发生率远高于梯形切除术。
结论：我们认为曲眼掌骨性关节炎术前发生的屈膝肌腱炎的频率被低估了，是更普遍的疼痛症状学的一部分。为了更好的术前诊断，需要更精确和具体的检查。梯形掌骨骨关节炎应在更全面的梯形掌骨周围病理学框架内考虑。包括梯形掌骨和三足骨水平，关节韧带和长肌外展肌,短花粉伸肌,长屈肌，和桡骨腕屈肌腱。
