An Evidence-Based Approach to Treating Thumb Carpometacarpal Joint Arthritis

Haase, Steven C.; Chung, Kevin C.

doi:10.1097/prs.0b013e3182046901

Cited by 31 publications

(21 citation statements)

References 33 publications

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“…Relevant studies were assigned a level of evidence using the American Society of Plastic Surgeons Evidence Rating Scale for Therapy. 25 Using the search terms, "radiation therapy" and "breast reconstruction," the MEDLINE query revealed 455 articles and the EMBASE query revealed 623 articles. A total of 87 articles were removed as duplicates.…”

Section: Methodsmentioning

confidence: 99%

Acellular Dermal Matrix in Irradiated Tissue Expander/Implant–Based Breast Reconstruction

Clemens

Kronowitz

2012

Plastic and Reconstructive Surgery

106

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Section: Methodsmentioning

confidence: 99%

Acellular Dermal Matrix in Irradiated Tissue Expander/Implant–Based Breast Reconstruction

Clemens

Kronowitz

2012

Plastic and Reconstructive Surgery

106

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“…Le traitement a été codifié dans les recommandations européennes dites Eular en 2007 [40]. Depuis, des études comparatives de traitements pharmacologiques [41,42], de rééducations [43][44][45][46][47][48][49][50], d'utilisation des orthèses [51][52][53][54][55] et d'interventions chirurgicales [56][57][58][59][60][61][62] ont été réalisées, une revue de littérature de la Cochrane Library [63] ainsi que des synthèses de pratiques fondées sur la littérature [64][65][66] viennent étayer la discussion thérapeutique.…”

Section: Traitement De La Rhizarthroseunclassified

“…Plusieurs revues de littérature [4,84] et recommandations [65] affirment que la trapézectomie isolée permet un bénéfice antalgique et fonctionnel équivalent à l'arthroplastie avec transposition ligamentaire, et avec moins de complications post-chirurgicales. Cette question demeure malgré tout discutée et dépend également de l'habitude du chirurgien d'utiliser telle ou telle technique.…”

Section: Points Clésunclassified

Arthritis of the thumb (rhizarthrosis) in the elderly

Berrut

2014

Gériatrie Et Psychologie Neuropsychiatrie Du Viellissement

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La rhizarthrose est l'arthrose de l'articulation entre l'os trapèze et le premier métacarpien. Cette articulation assure les mouvements de circumduction du pouce, permettant l'opposition entre le pouce et chaque doigt de la main. La rhizarthrose est l'arthrose la plus fréquente de la main. Elle entraîne une luxation externe de l'articulation trapézométacarpienne et une fermeture du premier rayon. Les douleurs sont parfois invalidantes et insomniantes et une réduction de la force de préhension gêne les activités de la vie quotidienne. Le traitement est médical à visée antalgique. Les anti-inflammatoires sont proposés par voie générale, cutanée ou par injection sous-cutanée ou intra-articulaire. Les orthèses sont efficaces sur les douleurs. Portées la nuit le plus souvent, elles peuvent être utilisées dans la journée en orthèses fixes en cas de douleurs invalidantes ou avec une orthèse dynamique et souple lorsque l'on désire maintenir les capacités fonctionnelles dans les formes moins algiques. La chirurgie est à visée fonctionnelle dans les formes débutantes, utilisant des arthroplasties avec interpositions ligamentaires. Dans les formes sévères chez la personne âgée, la trapézectomie a montré un effet antalgique équivalent aux autres techniques chirurgicales et présente moins de complications post-intervention.Mots clés : arthrose de pouce, sujet âgé, thérapeutique, revue, orthèses Abstract. Osteoarthritis of the base of the thumb is a common and painful condition, mostly observed in post menopausal women. This paper proposes a critical review of the recent papers in the point of view of geriatric medicine. The basal joint of the thumb is formed by the trapeziometacarpal joint and the carpometacarpal joint of the thumb. The trapeziometacarpal joint is a saddle joint with a wide mobility. The trapezium is most important bone which authorizes movement of rotation towards every finger of the hand. Carpometacarpal allows the strength of the hand. Antalgesic drugs are the first treatments. NSAIDs can be applied and reduced pain. Resting hand splint have a significant pain relief, without any side effects. This advantage is appropriate to treatment in elderly subjects. Flexible orthosis is adapted to maintaining activities of daily living in moderate pain. Chirurgical ligament reconstruction tendon interposition is the most common technics used. In elderly subject, trapeziectomy achieved pain relief and adapted to frail elderly.

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“…Symptomatic degenerative joint disease of the first carpometacarpal (CMC) joint has been successfully managed with various surgical treatments including trapeziectomy alone, trapeziectomy and ligament reconstruction with or without tendon interposition, metacarpal osteotomy, CMC arthrodesis, and CMC prosthetic arthroplasty; currently, no single approach has shown superiority. 1 Trapeziectomy and suspensionplasty with a commercially available Mini TightRope system (Arthrex, Naples, FL) has been recently reported as an option to treat CMC degenera-tive joint disease. This system utilizes FiberWire suture secured by two stainless steel buttons in the first and second metacarpals to recreate the stabilizing force of the anterior oblique ligament and prevent first metacarpal subsidence after trapeziectomy.…”

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confidence: 99%

Extensor Pollicis Longus Rupture after Mini TightRope Suspensionplasty

Seetharaman¹,

Vitale²,

Desai

et al. 2016

Jnl Wrist Surg

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Symptomatic degenerative joint disease of the first carpometacarpal (CMC) joint has been successfully managed with various surgical treatments including trapeziectomy alone, trapeziectomy and ligament reconstruction with or without tendon interposition, metacarpal osteotomy, CMC arthrodesis, and CMC prosthetic arthroplasty; currently, no single approach has shown superiority. Clinical Relevance The aim of this case report was to cite an occurrence of EPL rupture following its use and discuss the possibilities of its direct contribution.

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An Evidence-Based Approach to Treating Thumb Carpometacarpal Joint Arthritis

Cited by 31 publications

References 33 publications

Acellular Dermal Matrix in Irradiated Tissue Expander/Implant–Based Breast Reconstruction

Acellular Dermal Matrix in Irradiated Tissue Expander/Implant–Based Breast Reconstruction

Arthritis of the thumb (rhizarthrosis) in the elderly

Extensor Pollicis Longus Rupture after Mini TightRope Suspensionplasty

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