Carpometacarpal Arthroplasty and Ulnar Collateral Ligament Reconstruction in a Patient with Suspected Ehlers-Danlos Syndrome: A Case Report and Review of the Literature

Abstract

Ehlers-Danlos syndrome (EDS) is a disorder that presents with a heterogeneous constellation of symptoms, ranging from clinically silent to rapidly deteriorating. It is a multisystemic connective tissue disorder that may result in any number of manifestations, with joint hypermobility being a classic manifestation. We present a case of a 58-year-old woman, with suspected EDS, who presented with several years’ history of bilateral thumb pain, with imaging and physical examination findings consistent with bilateral thumb carpometacarpal (CMC) arthritis with metacarpophalangeal joint (MPJ) hypermobility. The Beighton hypermobility score was consistent with suspected EDS. Our patient underwent thumb CMC arthroplasty with ulnar collateral ligament (UCL) reconstruction.

Keywords

carpometacarpal arthritis - Ehlers-Danlos syndrome - ulnar collateral ligament

Publication History

Article published online:
02 June 2019

• References

• 1 Gamble JG, Mochizuki C, Rinsky LA. Trapeziometacarpal abnormalities in Ehlers-Danlos syndrome. J Hand Surg Am 1989; 14 (01) 89-94
• 2 Pelligrini VD. Osteoarthritis of the trapeziometacarpal joint: the pathophysiology of articular cartilage degeneration. II. Articular wear patterns in the osteoarthritic joint. J Hand Surg Am 1991; 16 (06) 975-982
• 3 Badia A, Riano F, Young LC. Bilateral arthroscopic tendon interposition arthroplasty of the thumb carpometacarpal joint in a patient with Ehlers-Danlos syndrome: a case report. J Hand Surg Am 2005; 30 (04) 673-676
• 4 Moore JR, Tolo VT, Weiland AJ. Painful subluxation of the carpometacarpal joint of the thumb in Ehlers-Danlos syndrome. J Hand Surg Am 1985; 10 (05) 661-663
• 5 Ericson WB, Wolman R. Orthopaedic management of the Ehlers-Danlos syndromes. Am J Med Genet C Semin Med Genet 2017; 175 (01) 188-194