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physiopraxis 2020; 18(02): 26-29
DOI: 10.1055/a-1071-0388
Therapie
© Georg Thieme Verlag Stuttgart – New York

Griffbereit – Physiotherapie bei Rhizarthrose

Rainer Zumhasch∗
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Publication History

Publication Date:
13 February 2020 (online)

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Plötzlich einschießende Schmerzen und Kraftverlust, Probleme beim Besteckhalten und Schlüsseldrehen sowie Ausstrahlungen in die Thenarmuskulatur sind deutliche Zeichen für eine Arthrose im Daumensattelgelenk. Handexperte Rainer Zumhasch beschreibt, was Physiotherapeuten tun können.

 

  • Literaturverzeichnis

  • 1 Pellegrini Jr VD. Osteoarthritis at the base of the thumb. Orthop Clin North Am 1992; 23: 83-102
    CrossrefPubMedGoogle Scholar
  • 2 Pai S, Talwalker SC, Hayton MJ. Presentation and managment of arthritis affecting the trapeziometacarpal joint. Acta Ortho Belg 2006; 72: 3-10
    Google Scholar
  • 3 Barron OA, Glickel SZ, Eaton RG. Basal joint arthritis of the thumb. J Am AcadOrthop Surg 2000; 8: 314-323
    Google Scholar
  • 4 Dias R, Chandrasenan V, Burke F. Basal thumb arthritis. Postgrad Med J 2007; 83: 40-43
    CrossrefPubMedGoogle Scholar
  • 5 Kloppenburg MR, Kwok WY. Hand osteoarthritis – a heterogeneous disorder. Nat Rev Rheumatol 2011; 8: 22-31 doi:10.1038/nrrheum.2011.170
    PubMedGoogle Scholar
  • 6 Dehaghin S, Bierma-Zeinstra SM, Ginai AZ. et al Prevalenz and pattern of radiographic hand osteoarthristis and association with pain and disability (The Rotterdam Study). Ann Rheum Dis 2005; 64: 682-687
    CrossrefPubMedGoogle Scholar
  • 7 Wilder FV, Barrett JP, Farina EJ. Joint-specific prevalence of osteoarthritis of the hand. Osteoarthritis Cartilage 2006; 14: 953-957
    CrossrefPubMedGoogle Scholar
  • 8 Buck-Gramcko D. Operative Behandlung der Sattelgelenksarthrose des Daumens. Handchirurgie 1972; 4: 105-109
    PubMedGoogle Scholar
  • 9 Wilson JN. Arthroplasty of the trapezio-metacarpal joint. PlastReconstr Surg 1972; 49: 143-148
    Google Scholar
  • 10 Elsner G, Nienhaus A, Beck W. Arthrosen der Fingergelenke und der Daumensattelgelenke und arbeitsbedingte Faktoren. Gesundh Wes 1995; 57: 786-791
    Google Scholar
  • 11 Van Heest AE, Kallemeier P. Thumb carpal metacarpal arthritis. J Am AcadOrthop Surg 2008; 16: 140-151
    Google Scholar
  • 12 Sonne-Holm S, Jacobsen S. Osteoarthritis oft the first carpometacarpal joint: A study of radiology and clinical epidemiology. Results from the Copenhagen Osteoarthritis Study. Osteoarthritis Cartilage 2006; 14: 496-500
    CrossrefPubMedGoogle Scholar
  • 13 Özgür C. Randomisierte, kontrollierte Studie zur Wirksamkeit der Blutegeltherapie bei symptomatischer Rhizarthrose. Inaugural-Dissertation an der Medizinischen Fakultät der Universität Duisburg-Essen 2009: 1-11
    PubMedGoogle Scholar
  • 14 Forrestier J. L`ostéo-arthritesèchetrapézio-métacarpienne (rhizarthrose du pouche). Presse Med 1937; 45: 315-317
    Google Scholar
  • 15 Zumhasch R. Daumensattelgelenk Arthritis. Therapie und Praxis 2006; 4: 33-35
    Google Scholar
  • 16 Zhang W, Doherty M, Leeb BF. et al EULAR evidence-based recommendations for the diagnosis of hand osteoarthritis: report of a task force of ESCISIT. Ann Rheum Dis 2009; 68: 8-17 doi:10.1136/ard.2007.084772
    CrossrefPubMedGoogle Scholar
  • 17 Repmann J. Die operative Behandlung der Rhizarthrose mittels Resektions-Interpositions-Arthroplastik „Eine Verlaufsbeobachtung“. Dissertation an der Justus-Liebig-Universität 2003: 6-12
    PubMedGoogle Scholar
  • 18 Pellegrini VD. Primary idiopathic osteoarthritis in the upper extremity. Report of the 1992 Sterling Bunnell Travelling Fellow. J Hand Surg (Am) 1993; 18: 1093-1094
    CrossrefPubMedGoogle Scholar
  • 19 Koebke J, Thomas W, Winter HJ. Das Ligamentum metacarpeum dorsale I und die Arthrose des Daumensattelgelenkes. Morphol Med 1982; 2: 1-8
    PubMedGoogle Scholar
  • 20 Xu L, Strauch RJ, Ateshian GA. Topography ofthe osteoarthritic thumb carpometacarpal joint and its variation with regard to gender, age, site and osteoarthritic stage. J Hand Surg Am 1998; 23: 454-464
    CrossrefPubMedGoogle Scholar
  • 21 Zancolli EA, Ziadenberg C, Zancolli Jr E. Biomechanics ofthe trapeziometacarpal joint. Clin OrthopRelat Res 1987; 220: 14-26
    Google Scholar
  • 22 Zumhasch R, Seyhan H, Hirt B. et al Anatomie und Biomechanik der Hand, 3. Überarbeitete Aufl Stuttgart: Thieme Verlag; 2015: S. 12
    Google Scholar
  • 23 Spies CK, Müller LP, Oppermann J. et al Die operative Dekompression des Ramus superficialis des Nervusradialis: Das Wartenberg-Syndrom. Oper OrthopTraumatol 2016; 28: 145-152
    Google Scholar
  • 24 Spies CK, Langer M, Hahn P. et al Therapie der primären Finger- und Daumengelenkarthrose. Dtsch Ärztebl Int 2018; 115: 269-275
    PubMedGoogle Scholar
  • 25 Burton RI. Basal joint implant arthroplasty in osteoarthritis. Indications, techniques, pitfalls and problems. Hand Clin 1987; 3: 473-487
    PubMedGoogle Scholar
  • 26 Swanson AB. Disabling arthritis at the base of the thumb: Treatment by resection of the trapezium and flexible (Silicone) implant arthroplasty. J Bone Joint Surg Am 1972; 54: 456-471
    CrossrefPubMedGoogle Scholar
  • 27 Geldmacher J, Woppmann NL. Die Daumensattelgelenksarthrose und ihre Behandlung. In: Daumensattelgelenksarthrose Buck-Gramcko D, Helbig B. Hrsg Stuttgart: Hippokrates; 1994: S. 20-40
    Google Scholar
  • 28 Eaton RG, Floyd WE. Thumb metacarpophalangeal capsulodesis: An adjunct procedure to basal joint arthroplasty for collapse deformity of the first ray. J Hand Surg Am 1988; 13: 449-453
    CrossrefPubMedGoogle Scholar
  • 29 Eaton RG, Littler JW. Ligament reconstruction for the painful thumb carpometacarpal joint. J Bone Joint Surg Am 1973; 55: 1655-1666
    CrossrefPubMedGoogle Scholar
  • 30 Eaton RG, Glickel SZ, Littler JW. Tendon interposition arthroplasty for degenerative arthritis of the trapeziometacarpal joint of the thumb. J Hand Surg Am 1985; 10: 645-654
    CrossrefPubMedGoogle Scholar
  • 31 Berggren M, Joost-Davidsson A, Lindstrand Jet al. Reduction in the need for operation after con- servative treatment of osteoarthritis oft the first carpometacarpal joint: a seven year prospective study. Scand J PlastReconstr Surg Hand Surg 2001; 35: 415-417
    Google Scholar
  • 32 Mancuso T, Poole JL. The Effect of Paraffin and Exercise on Hand Function in Persons with Scleroderma: A Series of Single Case Studies. J Hand Ther 2009; 22: 71-78
    CrossrefPubMedGoogle Scholar
  • 33 Chang YW, Hsieh SF, Horng YS. et al Comparative effectiveness of ultrasound and paraffin therapy in patients with carpal tunnel syndrome: a randomized trial. BMC Musculoskeletal Disorders 2014; 15: 399
    CrossrefPubMedGoogle Scholar
  • 34 Harris R, Millard JB. Paraffin-wax baths in the treatment of rheumatoid arthritis. Ann Rheum Dis 1955; 14: 278-282
    CrossrefPubMedGoogle Scholar
  • 35 Kang TW, Lee JH, Park DH. et al Effects of a finger exercise program on hand function in automobile workers with hand osteoarthritis: A randomized controlled trial. Hand Surg Rehabil 2019; 38: 59-66 doi:10.1016/j.hansur.2018.09.007
    PubMedGoogle Scholar
  • 36 Böhni U, Lauper M, Locher H. et al Manuelle Medizin 2, Diagnostische und therapeutische Techniken praktisch anwenden. Stuttgart: Thieme Verlag; 2012: S. 1-39
    Google Scholar
  • 37 Streeck U, Focke J, Klimpel L. et al Manuelle Therapie und komplexe Rehabilitation Band 1. Heidelberg: Springer Verlag; 2006. S. 1–40 279-285
    Google Scholar
  • 38 Mink AJF, terVeer HJ, Vorselaars T. Manuelle Therapie der Extremitäten. Lübeck-Ulm: Jungjohann; 1996: S. 3ff
    Google Scholar
  • 39 Klenner AF. Differenzierte Indikationsstellung und Behandlung der traumatischen und degenerativen Veränderung am Daumensattelgelenk. Dissertation an der Universität Duisburg-Essen; 2004; 13: 25
    Google Scholar
  • 40 Schomacher J. Manuelle Therapie: Bewegen und Spüren lernen. 6. Aufl. Stuttgart: Thieme Verlag; 2017: S. 2ff
    Google Scholar
  • 41 Pavlu D. Übungen mit dem Sanctband. Stuttgart: Thieme; 2016: S. 199ff
    Google Scholar
  • 42 Berggren M, Joost-Davidsson A, Lindstrand J. et al Reduction in the need for operation after conservative treatment of osteoarthritis oft the first carpometacarpal joint: a seven year prospective study. Scand J PlastReconstr Surg Hand Surg 2001; 35: 415-417
    Google Scholar
  • 43 Boustedt C, Nordenskiöld U, Lundgren Nilsson A. Effects of a hand-joint protection programme with an addition of splinting and exercise: one year follow-up. Clin Rheumatol 2009 28: 793-799 doi:10.1007/s10067-009-1150-y
    Google Scholar
  • 44 Kjeken I, Smedslund G, Moe R. et al Systematic review of design and effects of splints and exercise programs in hand osteoarthritis. Arthritis Care Res 2011; 63: 834-848 doi:10.1002/acr.20427
    Google Scholar
  • 45 Helbig B, Blauth W. Längerfristige Ergebnisse mit dem Swanson-Implantat bei Rhizarthrose. In: Buck-Gramcko D, Helbig B (Hrsg.).Daumensattelgelenksarthrose. Stuttgart: Hippokrates: 1994: S. 131-136
    Google Scholar
  • 46 Aebischer B, Elsig S, Taeymans J. Effectiveness of physical and occupational therapyon pain, function and quality of life in patients with trapeziometacarpal osteoarthritis – a systematic review and meta-analysis. Hand Ther 2016; 21: 5-15
    PubMedGoogle Scholar
  • 47 Villafane JH, Silva GB, Fernandez-Carnero J. Effect of thumb joint mobilization on pressure pain threshold in elderly patients with thumb carpometacarpal osteoarthritis. J Manipulative PhysiolTher 2012; 35: 110-120 doi:10.1016/j.jmpt.2011.12.002
    Google Scholar
  • 48 Lins RE, Gelbermann RH, MC Keown L. et al Basal joint arthritis: trapeziectomy with ligament reconstruction and tendon interposition arthroplasty. J Hand Surg 1996; 21: 202-209
    PubMedGoogle Scholar
  • 49 Lisantgi M, Rosati M, Spagnolli G. et al Trapeziometacarpal joint arthrodesis for osteoarthritis. Results of power staple fixation. J Hand Surg 1997; 22: 576-579
    CrossrefPubMedGoogle Scholar
  • 50 O`Brien VH, Giveans MR. Effects of a dynamic stability approach in conservative intervention of the carpometacarpal joint of the thumb: A retrospective study. J Hand Ther 2013; 26: 44-51
    CrossrefPubMedGoogle Scholar