Classification system for isolated arthritis of the scaphotrapeziotrapezoidal joint

White, Laura; Clavijo, Julio; Gilula, Louis A.; Wollstein, Ronit

doi:10.3109/02844311003675388

Cited by 24 publications

(27 citation statements)

References 17 publications

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“…The definition of OA was narrowing of the joint space (less than 1 mm or smaller than the other spaces in the same radiograph) with or without subchondral sclerosis, osteophytes, and cystlike defects. 3 The classification system used for the evaluation of STT joint OA is based on regular wrist radiographs. 3 This classification system does not include an evaluation of the trapezio-trapezoidal joint.…”

Section: Methodsmentioning

confidence: 99%

“…3 The classification system used for the evaluation of STT joint OA is based on regular wrist radiographs. 3 This classification system does not include an evaluation of the trapezio-trapezoidal joint. It defines the stage by the highest stage regardless of joint (scaphotrapezial/scaphotrapezoidal) and regardless of the view (PA, lateral, or oblique) of the wrist joint.…”

Section: Methodsmentioning

confidence: 99%

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Isolated Lunocapitate Osteoarthritis—An Alternative Pattern of Osteoarthritis

2014

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Introduction?Osteoarthritis (OA) in the wrist usually develops in a pattern described as scapholunate advanced collapse (SLAC). We observed an alternative pattern of OA that involves the lunocapitate joint in isolation with minimal involvement of the radioscaphoid articulation. Case Series?The series was observed from a series of 100 wrist radiographs that were retrospectively reviewed. In order to characterize the alternative pattern of OA, we compared demographic data, presentation, and physical and radiographic examination characteristics between the patients with lunocapitate OA and SLAC wrists. Fifteen radiographs showed OA, nine had a SLAC pattern, and six had lunocapitate OA. The demographics were similar, but the clinical presentation was different. The patients with lunocapitate OA had less tenderness over the snuffbox (P?

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Isolated Lunocapitate Osteoarthritis—An Alternative Pattern of Osteoarthritis

2014

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“…Primary osteoarthritis (OA) is an uncommon degenerative pathology of the wrist as compared with pathologies of other loading joints. The carpal scaphotrapeziotrapezoid (STT) is the second most affected joint by OA, [1][2][3] and it is present in 16% of wrist radiographs, [4][5][6] in 39% of cadaver dissections, 2 and in 83% of people older than 84 years of age. 1 The joint is located between the distal scaphoid and trapezius, and between the scaphoid and trapezoid bones.…”

Section: Introductionmentioning

confidence: 99%

Introducing the “SOAC Wrist”: Scaphotrapeziotrapezoid Osteoarthritis Advanced Collapse

Oliveira¹,

Aita

Brunelli

et al. 2020

Revista Iberoamericana de Cirugía de la Mano

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Despite being the second most common osteoarthritis of the wrist, little is known about scaphotrapeziotrapezoid osteoarthritis. Not all patients with this type of osteoarthritis have symptoms, and, even in those symptomatic patients, the intensity of the complaint is not proportional to the severity of the degeneration. In symptomatic patients, when the conservative treatment fails, grading classifications to help define the surgical treatment are solely based on the joint characteristics, and fail to assess the rest of the carpus.In general, most carpal degenerative processes show the same evolution pattern, which varies according to the initial injury, along with the type of deformity and the inherent instabilities. Thus, we hypothesize that the degenerative evolution due to primary osteoarthritis of the scaphotrapeziotrapezoid joint also follows a logical evolutionary sequence, similar to the one that occurs in cases of scapholunate advanced collapse (SLAC), scaphoid nonunion advanced collapse (SNAC), scaphoid malunion advanced collapse (SMAC), and scaphoid chondrocalcinosis advanced collapse (SCAC), thus resulting in scaphotrapeziotrapezoid osteoarthritis advanced collapse (SOAC). We have divided the SOAC into three groups, and considered that their treatment shall be guided by the evolutionary stage of the disease, and not by the surgeon's preferred technique.

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“…arthritis. Prevalence of osteoarthritis (OA) of the wrist varies with age, 6 but has been found to be as high as 91% in patients older than 80 years, 7 and is generally estimated to affect between 11 8,9 and 15% of the population. 10 Treatment options for distal radius fractures include casting, with or without closed reduction, closed reduction with percutaneous pinning, external fixation alone, or in combination with pinning, and open reduction and internal fixation.…”

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Preexisting Carpal and Carpometacarpal Osteoarthritis Has No Impact on Function after Distal Radius Fractures

et al. 2017

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Functional outcomes of distal radius fractures vary widely regardless of treatment methods. This study aims to verify whether preexisting carpal and carpometacarpal (CMC) osteoarthritis (OA) will negatively impact wrist functional outcome in patients with distal radius fractures. A retrospective case-control study was done using a prospective trauma database. Patients were matched 1:1 in two groups based on the presence of wrist or carpal arthritis (OA). The groups were matched for sex, follow-up, and treatment type. Patients were followed up for a minimum of 1 year and functional outcomes were assessed using validated scores. A total of 61 patients were included. Mean age was 63 years (range: 20-85) and average follow-up was 26 months. There were 31 patients in the OA+ group and 30 in the OA- group. Forty-one patients were treated surgically and 20 nonoperatively. None of the patients in the OA- developed OA during follow-up. Both groups were comparable for sex, residual deformity, and follow-up. There was no significant difference for the visual analog scale, Short Form-12, Quick Disability Arm Shoulder Hand, and Patient-rated Wrist Evaluation, or for radiographic outcomes. Preexisting OA in the wrist or CMC does not seem to impact outcomes of distal radius fractures, regardless of treatment, age, or sex. Although this is a negative study, the results are important to help counsel patients with distal radius fractures. Further work must be done to identify other potential causes for negative outcomes. Level III, prognostic study.

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Classification system for isolated arthritis of the scaphotrapeziotrapezoidal joint

Cited by 24 publications

References 17 publications

Isolated Lunocapitate Osteoarthritis—An Alternative Pattern of Osteoarthritis

Isolated Lunocapitate Osteoarthritis—An Alternative Pattern of Osteoarthritis

Introducing the “SOAC Wrist”: Scaphotrapeziotrapezoid Osteoarthritis Advanced Collapse

Preexisting Carpal and Carpometacarpal Osteoarthritis Has No Impact on Function after Distal Radius Fractures

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