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Updated: Apr 26, 2026
Metacarpal Small Incision for Carpal Tunnel Syndrome
Published on: April 5, 2024
Little finger carpometacarpal arthroplasty technique and result in 3 cases
Jason S Pruzansky1, Peter Goljan1, Abdo Bachoura1
1Philadelphia Hand Center, Thomas Jefferson University, Philadelphia, PA.
Purpose:
To present our surgical technique and results for the treatment of posttraumatic arthritis of the little finger carpometacarpal (CMC) joint.
Methods:
We performed a retrospective review of 3 patients who underwent our surgical technique. All patients had previously sustained intra-articular fractures of the base of the little finger metacarpal and presented with painful posttraumatic arthritis of the fifth metacarpal-hamate joint. Patients were treated with little finger CMC arthroplasty and extensor carpi ulnaris suspensionplasty.
Results:
We observed the 3 patients in the office over a mean of 21 months and by telephone for a mean for 51 months postoperatively. They had improvements in wrist motion and grip strength. Finger motion remained stable. Pain and tenderness at the little finger CMC joint were eliminated.
Conclusions:
Our technique provided satisfactory pain relief and motion preservation for posttraumatic arthritis of the little finger CMC joint.
Type Of Study/Level Of Evidence:
Therapeutic IV.
