James Gamble

Publication Details

  • Trapeziometacarpal abnormalities in Ehlers-Danlos syndrome. journal of hand surgery Gamble, J. G., Mochizuki, C., Rinsky, L. A. 1989; 14 (1): 89-94


    We studied 24 patients with Ehlers-Danlos syndrome with particular attention to the thumb and the trapeziometacarpal joint. The 11 males and 13 females had a mean age of 15.9 years. Symptomatic complaints included pinch, grip and twisting weakness; measurements showed dominant hand strength deficits of 71% for tip pinch, 55% for palmar pinch, 46% for key pinch, and 70% for grip. All finger joint ranges of motion were increased. Sixty-six percent of all the patients had trapeziometacarpal subluxation; 29% had dislocation. Sixteen percent had radiographic evidence of arthritis. Early occupational therapy evaluation and education can help these patients better understand and adapt to their limitations.

    View details for PubMedID 2786020

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