scholarly journals Osteoarthritis of the first carpometacarpal joint - Patients' subjective symptoms related to surgical outcome

2018 ◽  
Vol 7 (3) ◽  
pp. 63 ◽  
Author(s):  
Hedvig Arnberg ◽  
Jack Besjakov ◽  
Niels Thomsen ◽  
Emma Dahlin ◽  
Lars Dahlin
Keyword(s):  
Surgical Outcome ◽  
Subjective Symptoms ◽  
Carpometacarpal Joint ◽  
First Carpometacarpal Joint

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

2013 ◽  
Vol 38 (1) ◽  
pp. 79-82 ◽  
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.

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

Rheumatology ◽  
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.

Local anaesthesia for first carpometacarpal joint arthroplasty

1993 ◽  
Vol 16 (4-5) ◽  
Author(s):  
S. Lusthaus ◽  
H. Ashur ◽  
P. Benmeir ◽  
A. Neuman ◽  
A. Weinberg ◽  
...  
Keyword(s):  
Local Anaesthesia ◽  
Joint Arthroplasty ◽  
Carpometacarpal Joint ◽  
First Carpometacarpal Joint

Ligamentous constraint of the first carpometacarpal joint

2021 ◽  
Vol 128 ◽  
pp. 110789
Author(s):  
Wan M.R. Rusli ◽  
Eushaa Mirza ◽  
Sarah Tolerton ◽  
Sarah Yong ◽  
Riem Johnson ◽  
...  
Keyword(s):  
Carpometacarpal Joint ◽  
First Carpometacarpal Joint

Benefits of Additional Procedures for Metacarpophalangeal Hyperextension on Simple Trapeziectomy in Thumb Basal Osteoarthritis: A Biomechanical Cadaver Study

2019 ◽  
Vol 24 (02) ◽  
pp. 153-160
Author(s):  
Charles E. Dumont ◽  
Arndt von Campe
Keyword(s):  
Preoperative Assessment ◽  
Force Sensor ◽  
Metacarpophalangeal Joint ◽  
Cadaver Study ◽  
Distal Phalanx ◽  
Significant Shift ◽  
Carpometacarpal Joint ◽  
Metacarpal Head ◽  
Biomechanical Investigation ◽  
First Carpometacarpal Joint

Background: Patients with advanced osteoarthritis of the first carpometacarpal joint (CMC-1) may develop hyperextension of the first metacarpophalangeal joint (MCP-1). No clear clinical benefice has been reported consecutively to the surgical treatment of the MCP-hyperextension combined to a trapeziectomy. The reason of the missing benefit may be due to changes in the thumb position impairing the thumb stability secondary to the surgical procedures. We assessed changes in the transmission of forces at the thumb’s end phalanx following a trapeziectomy combined with the surgical adjustment of the hyperextension of the MCP-1-joint in a biomechanical investigation using cadavers. Methods: The thumb muscles were loaded with nylon cables connected to a tension meter in 8 forearm cadavers. A 6-axis force sensor assessed the termino-lateral key-pinch orthogonal strength vectors at the level of the thumb distal phalanx prior to any surgery, and following a simple trapeziectomy, a trapeziectomy combined to a MCP-1-capsulodesis and the transfer of the extensor pollicis brevis over the metacarpal-1 head, or to an MCP-1-arthrodesis. Results: Combination of the trapeziectomy with the MCP-1- joint palmar capsulodesis and EPB-transfer or with a MCP-arthrodesis in neutral pronation-supination resulted in a significant shift of the thumb in pronation-abduction with respect to the preoperative assessment. The lowest shift was achieved when performing the arthrodesis in 20° supination or by overloading of the adductor pollicis. Conclusions: Combining the trapeziectomy with surgeries addressing the MCP-1-joint hyperextension induced a shift of the thumb in pronation-abduction that could impair the key-pinch stability. When considering additional procedures for MCP-1-joint hyperextension deformities, it should be recommended to fix the EPB-tendon on the radial aspect of the metacarpal head if a tendon transfer is considered, otherwise the MCP joint arthrodesis should be performed in supinated position, in order to achieve lateral key-pinch stability.

scholarly journals Metacarpophalangeal Arthrodesis with Resection-suspension Arthroplasty in First Carpometacarpal Osteoarthritis

2020 ◽  
Vol 48 (01) ◽  
pp. 027-030
Author(s):  
Jose A. Oteo-Maldonado ◽  
Patricia Merino-Carretero
Keyword(s):  
Functional Results ◽  
Metacarpophalangeal Joint ◽  
Wilcoxon Test ◽  
Carpometacarpal Joint ◽  
Medium Term ◽  
Hand Grip ◽  
First Carpometacarpal Joint ◽  
Quick Dash ◽  
Carpometacarpal Osteoarthritis

AbstractFirst carpometacarpal joint osteoarthritis (CMC-1) may develop first metacarpophalangeal joint hyperextension (MCP-1). We enrolled patients with CMC-1 osteoarthritis and MCP-1 hyperextension ≥40 degrees treated with resection-suspension arthroplasty and MCP-1 intramedullary arthrodesis with XMCP™ system. Minimum follow-up was five years. We evaluated: thumbinterphalangeal (IP) range ofmotion, key pinch, hand grip, Kapandji, VAS and Quick DASH. Wilcoxon test was uses for statistical analysis.Nineteen patients were reviewed. We found improvement in key pinch, hand grip, VAS and Quick DASH; statistical difference (p < 0.05) was observed in all of them except key pinch. IF thumb range of motion and Kapandji decreased.TMC arthrodesis with XMCP™ system associated with resection-suspension arthroplasty, as a treatment for CMC-1 osteoarthritis and MCP-1 hyperextension ≥40 degrees, achieves good functional results in the medium term.

The Value of Scapho-Trapezio-Trapezoid Arthrodesis Combined with “De La Caffinière” Arthroplasty for the Treatment of Pan-Trapezial Osteoarthritis

1993 ◽  
Vol 18 (4) ◽  
pp. 527-532 ◽  
Author(s):  
G. R. SENNWALD ◽  
G. SEGMÜLLER
Keyword(s):  
Angular Position ◽  
Clinical Findings ◽  
Impingement Syndrome ◽  
High Rate ◽  
Pinch Strength ◽  
Carpometacarpal Joint ◽  
Non Union ◽  
Internal Stabilization ◽  
First Carpometacarpal Joint ◽  
Stt Arthrodesis

13 patients, 12 female and one male (mean age 63) with pan-trapezial osteoarthritis were treated by a “de la Caffinière” arthroplasty of the first carpometacarpal joint, combined with a scapho-trapezio-trapezoid (STT) arthrodesis. 11 could be reviewed at least 3 years after surgery (average 3 years and 8 months). Non-union of the arthrodesis occured twice, once when no internal stabilization was used, once with the use of the staplizer. No impingement syndrome was recorded, and there was no correlation between the angular position of the scaphoid and mobility of the wrist. Two out of 11 “de la Caffinière” implants had to be removed. Loosening of the stem is unusual, but the cup remained only perfectly in place in two cases. There was no correlation between radiological and clinical findings and the overall result was good or excellent in 8 out of 13 (62%) of the cases. The grip and pinch strength were comparable to the results of the literature. This method cannot be further recommended because of the high rate of re-operation and the risk to the trapezium which has to be further evaluated.

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