Changes in the Functional Range of Motion of the Thumb Metacarpophalangeal Joint After Trapeziometacarpal Arthrodesis for Patients With Advanced Trapeziometacarpal Osteoarthritis

Author(s):  
Masanori Hayashi ◽  
Hiroyuki Kato ◽  
Masatoshi Komatsu ◽  
Hiroshi Yamazaki ◽  
Shigeharu Uchiyama ◽  
...  
Hand ◽  
2016 ◽  
Vol 11 (1_suppl) ◽  
pp. 78S-79S
Author(s):  
Tatsuki Ebata ◽  
Ikuo Nakai ◽  
Akira Kogure ◽  
Kenichiro Goto

2013 ◽  
Vol 39 (3) ◽  
pp. 272-275 ◽  
Author(s):  
N. J. K. Miller ◽  
T. R. C. Davis

Hyperextension of the thumb metacarpophalangeal (MCP) joint is frequently seen with trapeziometacarpal osteoarthritis, but there is no consensus on the indication for, or type of, treatment. We re-examined 12 thumbs at a mean of 9 (range 6–13) years following MCP capsulodesis using a suture anchor performed with trapeziectomy. Mean MCP hyperextension improved from 45° pre-operatively to 19° at 1 year post-operatively. At 9 years follow-up, it had increased to 30° but was still significantly better than pre-operatively ( p = 0.007). Mean MCP flexion was 37° and near normal opposition was retained. The median pain score had improved from 5.5 to 1 ( p = 0.002). Thumb key and tip pinch and hand grip strength showed no significant change from pre-operative values. No thumb MCP had symptomatic radiological degeneration. Our results suggest that MCP capsulodesis preserves a useful range of MCP flexion but stretches out over time. However, this did not result in increased pain or thumb weakness.


Author(s):  
Alan E. Freeland ◽  
Michael E. Jabaley ◽  
James L. Hughes

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