Article

Degenerative arthritis at the triscaphe joint

Connecticut Combined Hand Service, Hartford Hospital.
The Journal Of Hand Surgery (Impact Factor: 1.66). 04/1990; 15(2):232-5. DOI: 10.1016/0363-5023(90)90100-6
Source: PubMed

ABSTRACT The clinical presentation of triscaphe arthritis and the results of arthrodesis are presented. Twenty-one patients had triscaphe arthrodesis for treatment of arthritis of the triscaphe joint between 1972 and 1986. Seven also had rotary subluxation of the scaphoid and one had Kienböck's disease. Twenty patients were available for examination at an average of 5 years after operation. All had relief of pain and the average flexion-extension arc was 101 degrees. One patient had a nonunion successfully treated by refusion, and in two patients a dystrophy developed, which was relieved by a stress loading program. No progression of arthritis was seen elsewhere in the wrist.

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    • "The distally based capsular flap is tightly reattached on to the dorsum of the scaphoid, thus eliminating its tendency towards extension. Linscheid et al., 1990) and the frequent early development of radioscaphoid impingement problems (Rogers and Watson, 1990). Despite such drawbacks, however, STT fusion remains an alternative to control scaphoid malalignment, and may be considered in wrists that are severely malaligned due to STT arthritis. "
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