Distal Pole Resection of the Scaphoid for the Treatment of Scaphotrapeziotrapezoid Osteoarthritis

Berkhout, Merel J.L.; Bachour, Yara; Wessing, D.; Ritt, Marco J.P.F.

doi:10.1177/1558944717735939

Cited by 16 publications

(27 citation statements)

References 23 publications

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“…17,18 The occurrence of a static or dynamic DISI pattern of carpal instability as a result of distal scaphoid resection has been reported in several studies. 15,16,19 Tendon interposition did not to affect the degree of DISI deformity. 16 Patients without fibrous interposition after distal scaphoid excision showed significantly greater wrist flexionextension motion than patients with soft-tissue interposition.…”

Section: Discussionmentioning

confidence: 81%

“…15,16,19 Tendon interposition did not to affect the degree of DISI deformity. 16 Patients without fibrous interposition after distal scaphoid excision showed significantly greater wrist flexionextension motion than patients with soft-tissue interposition. 15 No correlation was found between DISI stance, pain scores, and functional outcomes.…”

Section: Discussionmentioning

confidence: 81%

“…Studies show that distal scaphoid excision results in good pain relief. 15,16 Reported complications of the procedure are not common, but include radial nerve irritation, injuries to the radial artery, and rupture of the flexor digitorum superficialis and flexor digitorum profundus to the index finger. 17,18 The occurrence of a static or dynamic DISI pattern of carpal instability as a result of distal scaphoid resection has been reported in several studies.…”

Section: Discussionmentioning

confidence: 99%

“…15 No correlation was found between DISI stance, pain scores, and functional outcomes. 15,16 In the presence of clinical or subclinical midcarpal instability, alternative procedures have been suggested. 6 A Pyrocarbon implant to fill the gap may help to prevent carpal instability.…”

Section: Discussionmentioning

confidence: 99%

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Current Trends in Operative Treatment of Scaphotrapeziotrapezoid Osteoarthritis: A Survey among European Hand Surgeons

2020

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Objective Based on the available evidence, the optimal surgical treatment for isolated scaphotrapeziotrapezoid oarthritis (STT OA) remains unclear. The purpose of this study is to explore the prevailing surgical practice for isolated STT OA among European hand surgeons. We hypothesized that a considerable variance exists in the current surgical practice among hand surgeons in Europe. Methods An online survey was distributed to 20 participating member states of the Federation of European Societies for Surgery of the Hand (FESSH). Respondents were questioned on their country of practice, surgical experience, preferred surgical procedure, frequency of performing this procedure, factors in decision-making, and other performed surgical procedures. Results Four hundred and sixty-five responses were received with an estimated response rate of 19%. Trapeziectomy with partial trapezoidal excision was the surgical treatment of choice among the participating hand surgeons in Europe (38%), followed by STT joint fusion (30%), and distal scaphoid excision (14%). Conclusion This survey provides an insight into the surgical management of isolated STT OA among hand surgeons in Europe. A wide variety of preferred treatment techniques were found. Evidence concerning the optimal surgical treatment has not been established. Future prospective randomized studies comparing different techniques are warranted.

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Section: Discussionmentioning

confidence: 81%

Section: Discussionmentioning

confidence: 81%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Current Trends in Operative Treatment of Scaphotrapeziotrapezoid Osteoarthritis: A Survey among European Hand Surgeons

2020

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“…It requires less immobilization time and has fewer complications than arthrodesis, but can create midcarpal instability and DISI deformity, or even worsen such problems if already existent. 30,[45][46][47] Most authors nowadays recommend the association of some type of carpal stabilization to the distal scaphoid resection. 10,[42][43][44] Some authors propose the use of metal interposition arthroplasties for such a purpose.…”

Section: Discussionmentioning

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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Wrist Arthritis

Donndorff

2024

Orthopaedics and Trauma

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Distal Pole Resection of the Scaphoid for the Treatment of Scaphotrapeziotrapezoid Osteoarthritis

Abstract: According to this study, midterm results for distal pole resection of the scaphoid are satisfactory.

Cited by 16 publications

References 23 publications

Current Trends in Operative Treatment of Scaphotrapeziotrapezoid Osteoarthritis: A Survey among European Hand Surgeons

Current Trends in Operative Treatment of Scaphotrapeziotrapezoid Osteoarthritis: A Survey among European Hand Surgeons

Introducing the “SOAC Wrist”: Scaphotrapeziotrapezoid Osteoarthritis Advanced Collapse

Wrist Arthritis

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