Endoscopic Resection of Carpometacarpal Boss and Synovectomy of the Second Carpometacarpal Joint

Lui, Tun Hing; Liang, Zhuohao Chow

doi:10.1016/j.eats.2018.10.018

Cited by 2 publications

(7 citation statements)

References 13 publications

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“…Recently, arthroscopic management was described for the index CMCB, presenting some data about pain and the advantages of their method. 5 However, there is a lack of information about postoperative outcomes. Despite the authors' detailing of the step-by-step, we believe that the middle finger has more complex anatomy than the index because the middle CMCB is under a "cage" interval between the ECRB and index-middle EDC and extensor indicis proprius tendons.…”

Section: Discussionmentioning

confidence: 99%

“…Recently, arthroscopic management was described for the index CMCB, presenting some data about pain relief and the advantages of their method 5. However, there is a lack of information about postoperative outcomes.…”

Section: Discussionmentioning

confidence: 99%

“…CMCB management still has no gold standard pillars. [1][2][3][4][5][6][7] Traditionally, there are only open procedures such as simple excision and wide-wedge excision using a dorsal approach. The most common complications are CMCB recurrence and pain recurrence, which are primarily last associated with disrupting the dorsal ligament between the long metacarpal base and capitate.…”

Section: Discussionmentioning

confidence: 99%

“…It is clinically more likely to be asymptomatic. However, a painful bony prominence at the dorsum of the hand is the main complaint 1–5. Other symptoms are ganglia, osteoarthritis, and tendon disorders, such as subluxation (snapping), impingement, or rupture 3,4…”

mentioning

confidence: 99%

“…Nonoperative management is the first choice, with pain relief methods (non-steroidal anti-inflammatory drugs), physiotherapy and corticosteroid injections. Some authors recommend a short period of immobilization 2–5…”

mentioning

confidence: 99%

See 4 more Smart Citations

Arthroscopic Management for Carpometacarpal Boss of Third Joint and Synovectomy: Technique and Case Report

Rezende

Shimaoka

Mandarano-Filho

et al. 2022

Techniques in Hand &Amp; Upper Extremity Surgery

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The carpometacarpal boss (CMCB) is painful bony prominence in the dorsum of the hand that can lead to functional and aesthetic impairment. Nonoperative methods are the management of choice, achieving good outcomes. However, operative management could be an alternative in the absence of improvement. Nevertheless, open procedures are more likely to be done, but there are complications, and it is more aggressive to the soft tissue. The use of arthroscopic techniques has increased in the last decade, being a safe alternative for CMCB management. It has the advantage of being a minimally invasive technique, allowing the early range of motion. This minimally invasive method allows synovectomy and preserves tendon attachments, achieving good functional outcomes. This case report presents an arthroscopic technique for managing the middle finger CMCB.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%