Osteoarthritis of the Carpometacarpal Joint of the Thumb: Suture Suspensionplasty Technique Using the Internal Brace™

This review describes the different possibilities for arthroplasties at the proximal interphalangeal joint, thumb carpometacarpal joint, distal radioulnar joint, metacarpophalangeal joint and the wrist. For each joint, the indication for arthroplasty is explained, the surgical technique with the suitable implant is described and a brief summary of the outcomes reported in the literature is given.

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Anatomic Double-Bundle ACL Reconstruction With Extra-articular Anterolateral Ligament Reconstruction and Internal Brace

Arthroscopy Techniques ◽

10.1016/j.eats.2020.10.069 ◽

2021 ◽

Vol 10 (3) ◽

pp. e789-e796

Author(s):

Chih-Hao Chiu ◽

Jia-En Chi ◽

Po-Hua Huang ◽

Shih-Sheng Chang ◽

Kuo-Yao Hsu ◽

...

Keyword(s):

Acl Reconstruction ◽

Ligament Reconstruction ◽

Double Bundle ◽

Anterolateral Ligament ◽

Anterolateral Ligament Reconstruction ◽

Internal Brace ◽

Double Bundle Acl Reconstruction

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A custom-made neoprene thumb carpometacarpal orthosis with thermoplastic stabilization: An orthosis that promotes function and improvement in patients with the first carpometacarpal joint osteoarthritis

Prosthetics and Orthotics International ◽

10.1177/0309364613488621 ◽

2013 ◽

Vol 38 (1) ◽

pp. 79-82 ◽

Cited By ~ 10

Author(s):

Monireh Ahmadi Bani ◽

Mokhtar Arazpour ◽

Stephen William Hutchins ◽

Fereydoun Layeghi ◽

Mahmood Bahramizadeh ◽

...

Keyword(s):

Grip Strength ◽

Clinical Relevance ◽

Hand Function ◽

Pinch Strength ◽

Conservative Approach ◽

Carpometacarpal Joint ◽

Custom Made ◽

First Carpometacarpal Joint ◽

Thumb Carpometacarpal ◽

Improved Function

Background and aim: Patients with mild to moderate first carpometacarpal joint osteoarthritis report pain, a reduction in pinch and grip strength and hand function. The purpose of this study was to analyze the effect of a custom-made neoprene thumb carpometacarpal orthosis with thermoplastic stabilization on pain, function, grip strength, and key pinch in these patients. Technique: A total of 11 volunteer patients participated in this study. All the above-mentioned parameters were evaluated at baseline and also 30, 60, and 90 days after using the splint. Discussion: A decrease in pain was observed after 30 days, and this continued to improve during treatment with the splint. After 90 days of using the splint, grip strength was improved. Function and pinch strength also increased significantly and was maintained during the study period compared to baseline. Clinical relevance A custom-made neoprene thumb carpometacarpal orthosis with thermoplastic stabilization may be a suitable conservative approach for the treatment of first carpometacarpal joint osteoarthritis.

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Mechanical thumb pain in a systemic sclerosis patient: simple first carpometacarpal osteoarthritis?

Rheumatology ◽

10.1093/rheumatology/keab120 ◽

2021 ◽

Author(s):

Guillaume LARID ◽

Pier-Olivier DUBOE ◽

Jean-Denis LAREDO ◽

Elisabeth GERVAIS

Keyword(s):

Systemic Sclerosis ◽

Signal Intensity ◽

Topoisomerase I ◽

Joint Space ◽

Carpometacarpal Joint ◽

Cross Sectional ◽

First Carpometacarpal Joint ◽

Provide Pain Relief ◽

Long Time ◽

Carpometacarpal Osteoarthritis

Abstract A 70-year-old female patient treated with methotrexate for diffuse cutaneous systemic sclerosis (SSc) came up with mechanical pain over the left thumb for several months. SSc was diagnosed based on a clinical picture associating puffy fingers, skin sclerosis, wrist arthralgia, pulmonary hypertension, presence of antinuclear factors and antibodies against Topoisomerase-I. Her complaint was attributed to first carpometacarpal joint osteoarthritis and treated with orthesis, which did not provide pain relief after 5 months of regular use. Hand radiograph showed first carpometacarpal arthropathy with joint space narrowing and marked sclerosis of the first proximal metacarpal (A). MRI showed an area of very low signal intensity on T1- and T2-weighted images (B) within the proximal metacarpal, distal trapezium and medial joint recess surrounded by bone marrow edema. Mild peripheral enhancement was present after gadolinium injection. CT-scan (C) showed that the low signal intensity material visible at MRI consisted of calcium. These aspects are suggestive of scleroderma arthropathy rather than common first carpometacarpal osteoarthritis. Though involvement of the first carpometacarpal joint is long time known in SSc [1], it remains exceptional when looking at cross-sectional studies [2]. Carefully analyzing imaging exams is the key point in order not to miss this rare scleroderma feature.

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