Thumb Metacarpophalangeal Joint Arthrodesis

  • Alan E. Freeland
  • Michael E. Jabaley
  • James L. Hughes

Abstract

Fixing the thumb in a position of palmar abduction is an operation of last resort. It is reserved for those cases of paralysis in which there are no transferable muscles, where there are spastic paralysis and adduction contracture, and where there is severely scarred thumb-web space but in which there is still some chance for useful hand function if the thumb can be placed in an abducted position (Figs. 48-1 A Figs. 48-1 B Figs. 48-1 C-I).

Fig. 48-1 A

A 17-year-old high school football player had an old injury to the left metacarpophalangeal thumb joint, with instability of the radial collateralligament and volar subluxation of the proximal phalanx on the metacarpal. In addition, there was joint space narrowing on the ulnar side of the joint and subchondral cyst formation in the ulnar condyle of the thumb metacarpal. In the preceding year, this condition had interfered with his manual activities, particularly with pinching and grasping and especially with catching a football. He was a wide receiver. He requested surgical intervention.

Fig. 48-1 B

A 17-year-old high school football player had an old injury to the left metacarpophalangeal thumb joint, with instability of the radial collateralligament and volar subluxation of the proximal phalanx on the metacarpal. In addition, there was joint space narrowing on the ulnar side of the joint and subchondral cyst formation in the ulnar condyle of the thumb metacarpal. In the preceding year, this condition had interfered with his manual activities, particularly with pinching and grasping and especially with catching a football. He was a wide receiver. He requested surgical intervention.

Keywords

Arthritis Chevron 

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Copyright information

© Springer-Verlag New York Inc. 1986

Authors and Affiliations

  • Alan E. Freeland
    • 1
    • 2
  • Michael E. Jabaley
    • 3
    • 4
  • James L. Hughes
    • 5
    • 6
  1. 1.Section of Hand SurgeryUniversity of Mississippi Medical CenterJacksonUSA
  2. 2.Jackson Veteran’s Administration Hospital, Mississippi Methodist Rehabilitation Center, Blake Clinic for Crippled Children and Mississippi Children’s Rehabilitation CenterJacksonUSA
  3. 3.Division of Plastic SurgeryUniversity of Mississippi Medical CenterJacksonUSA
  4. 4.St. Dominic’s-Jackson Health Services Center, Mississippi Baptist Medical Center, River Oaks Hospital, Mississippi Methodist Rehabilitation CenterJacksonUSA
  5. 5.Division of Orthopaedic SurgeryUniversity of Mississippi Medical CenterJacksonUSA
  6. 6.Jackson Veteran’s Administration Hospital, Mississippi Methodist Rehabilitation Center, Blake Clinic for Crippled Children and Mississippi Children’s Rehabilitation CenterJacksonUSA

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