Arthroplasty in the hand: what works and what doesn’t?

2021 ◽  
pp. 175319342110177
Author(s):  
Daniel B. Herren ◽  
Hajime Ishikawa ◽  
Marco Rizzo ◽  
Mark Ross ◽  
Michael Solomons
Keyword(s):  
Surgical Technique ◽  
Metacarpophalangeal Joint ◽  
Distal Radioulnar Joint ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Carpometacarpal Joint ◽  
Thumb Carpometacarpal Joint ◽  
Radioulnar Joint ◽  
What Works ◽  
Thumb Carpometacarpal

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.

scholarly journals The Use of Routine Wrist Radiography is Not Useful in the Evaluation of Patients with a Ganglion Cyst of the Wrist

Hand ◽  
2007 ◽  
Vol 2 (3) ◽  
pp. 117-119 ◽  
Author(s):  
Andrew S. Wong ◽  
Peter J. L. Jebson ◽  
Peter M. Murray ◽  
Stephen D. Trigg
Keyword(s):  
Ganglion Cyst ◽  
Treatment Decision ◽  
Hand Surgery ◽  
Cost Effective ◽  
Metacarpophalangeal Joint ◽  
Distal Radioulnar Joint ◽  
Significant Finding ◽  
Thumb Carpometacarpal Joint ◽  
Treatment Decision Making ◽  
Thumb Carpometacarpal

The purpose of this study was to evaluate the cost-effectiveness of routine wrist radiography in the evaluation of patients with a wrist ganglion. In the setting of a University-based hand surgery practice, 103 consecutive patients with a dorsal or volar wrist ganglion underwent posteroanterior, lateral, and oblique radiographs of the involved wrist. There were 24 men and 79 women with an average age of 34 years (range 4–67 years). A retrospective review of the medical records was performed. Abnormalities on plain radiographs were noted in only 13 patients (13%). Findings included six cases of thumb carpometacarpal joint arthritis and one case each of an enchondroma, congenital distal radioulnar joint (DRUJ) anomaly, DRUJ degenerative changes, intraosseous ganglion, carpal boss, radiocarpal arthritis, and thumb metacarpophalangeal joint osteoarthritis. In only one case (1%) did the findings alter the management. At our institution, the professional and technical charge for three views of the wrist is $172. This confers a cost of $17,716 per therapeutically significant finding in our series. We conclude that routinely performing wrist radiography is not cost-effective in the evaluation and treatment decision-making process in patients with a wrist ganglion.

EVALUATION OF THE FIRST METACARPAL PROXIMAL FACET INCLINATION AS A PROGNOSTIC PREDICTOR FOLLOWING ARTHROPLASTY FOR OSTEOARTHRITIS OF THE THUMB CARPOMETACARPAL JOINT

Hand Surgery ◽  
2013 ◽  
Vol 18 (01) ◽  
pp. 69-72 ◽  
Author(s):  
Ichiro Tonogai ◽  
Yoshitaka Hamada ◽  
Naohito Hibino
Keyword(s):  
Radiological Finding ◽  
Metacarpophalangeal Joint ◽  
Carpometacarpal Joint ◽  
Prognostic Predictor ◽  
Thumb Carpometacarpal Joint ◽  
Carpometacarpal Joints ◽  
Radiographic Measurements ◽  
Poor Outcomes ◽  
Thumb Carpometacarpal

We have retrospectively reviewed 17 thumbs in 16 patients with osteoarthritis of the thumb carpometacarpal joints, for which arthroplasty was performed using Kaarela's method. Postoperatively, three thumbs in two patients had poor outcomes; both patients had a sharp slope of the base of the first metacarpal. Serial radiographic measurements suggested that this sharp slope affected the adducted position of the first metacarpal, and led to the appearance of a metacarpophalangeal joint hyperextension deformity of the thumb. This radiological finding could be a prognostic predictor after surgery for osteoarthritis of the thumb carpometacarpal joint.

Arthrodesis of the thumb carpometacarpal joint using a quadrangular plate: surgical technique and long-term results of 70 patients

2017 ◽  
Vol 27 (7) ◽  
pp. 909-915 ◽  
Author(s):  
Verónica Jiménez-Díaz ◽  
David Cecilia-López ◽  
Miguel Ángel Porras-Moreno ◽  
Gema Muñoz-Sánchez ◽  
Lorena García-Lamas ◽  
...  
Keyword(s):  
Surgical Technique ◽  
Long Term Results ◽  
Carpometacarpal Joint ◽  
Thumb Carpometacarpal Joint ◽  
Thumb Carpometacarpal

Modeling of the stress state of the thumb carpometacarpal joint

2013 ◽  
Vol 48 (4) ◽  
pp. 439-449
Author(s):  
G. M. Anferov ◽  
I. G. Goryacheva ◽  
A. N. Lyubicheva ◽  
I. A. Soldatenkov ◽  
Fong-Chin Su ◽  
...  
Keyword(s):  
Stress State ◽  
Carpometacarpal Joint ◽  
Thumb Carpometacarpal Joint ◽  
Thumb Carpometacarpal

Surface Anatomy of the Thumb Carpometacarpal Joint

2011 ◽  
Vol 36 (8) ◽  
pp. 26-27
Author(s):  
Christopher Got ◽  
Eni Halilaj ◽  
Amy L. Ladd ◽  
Arnold-Peter C. Weiss ◽  
Joseph J. Crisco
Keyword(s):  
Carpometacarpal Joint ◽  
Thumb Carpometacarpal Joint ◽  
Surface Anatomy ◽  
Thumb Carpometacarpal

Imaging and management of thumb carpometacarpal joint osteoarthritis

2014 ◽  
Vol 44 (2) ◽  
pp. 165-177 ◽  
Author(s):  
David M. Melville ◽  
Mihra S. Taljanovic ◽  
Luke R. Scalcione ◽  
Joseph M. Eble ◽  
Lana H. Gimber ◽  
...  
Keyword(s):  
Carpometacarpal Joint ◽  
Thumb Carpometacarpal Joint ◽  
Thumb Carpometacarpal

Extensor Indicis Opposition Transfer in The Ulnar and Median Palsied Thumb in Leprosy

1996 ◽  
Vol 21 (5) ◽  
pp. 617-621 ◽  
Author(s):  
R. MEHTA ◽  
G. N. MALAVIYA ◽  
S. HUSAIN
Keyword(s):  
Index Finger ◽  
Donor Site ◽  
Metacarpophalangeal Joint ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Flexor Pollicis Longus ◽  
Extensor Pollicis Longus ◽  
Extensor Indicis Proprius ◽  
Leprosy Patients ◽  
Significant Deficit

Twenty seven opponensplasties for ulnar and median paralysis in 25 leprosy patients were performed using extensor indicis proprius. An additional transfer of the radial half of flexor pollicis longus to extensor pollicis longus was done to stabilize the metacarpophalangeal joint of the thumb. The biomechanical aspects of extensor indicis proprius tendon transfer were studied and results evaluated using various anatomical and functional parameters. Extensor indicis proprius provides adequate strength to position the thumb. However, sometimes it does not reach its new insertion. There is no significant deficit at the donor site but in a few cases the index finger may lose its capability for independent extension and sometimes a proximal interphalangeal joint contracture may develop.

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