Factors Associated With Radiographic Trapeziometacarpal Arthrosis in Patients Not Seeking Care for This Condition

Wilkens, Suzanne C.; Tarabochia, Matthew; Ring, David; Chen, Neal C.

doi:10.1177/1558944717732064

Cited by 21 publications

(24 citation statements)

References 24 publications

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“…Although the diagnosis of trapeziometacarpal osteoarthritis (TM OA) is often confirmed radiographically, it is recognized that the severity of TM OA on imaging does not correlate well with the severity of symptoms reported by patients ( Armstrong et al., 1994 ; Haara et al., 2004 ; Hwang and Ring, 2011 ; Wilkens et al., 2019 ). The subjectivity of symptoms caused by TM OA warrants the use of patient-reported and disease-specific tools to measure outcomes.…”

Section: Introductionmentioning

confidence: 99%

Minimal clinically important difference of the Trapeziometacarpal Arthrosis Symptoms and Disability questionnaire

Florczynski

Antflek

Baltzer

2022

J Hand Surg Eur Vol

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The Trapeziometacarpal Arthrosis Symptoms and Disability questionnaire is a recently developed disease-specific instrument designed to measure patient-reported symptoms. Our aim was to establish a minimal clinically important difference for this questionnaire. This prospective study included 95 patients undergoing operative ( n = 39) or non-operative ( n = 56) treatments for primary trapeziometacarpal osteoarthritis. Patients completed a battery of tests including the Trapeziometacarpal Arthrosis Symptoms and Disability questionnaire at the initial clinic visit and follow-up visits. Two anchor-based methods were used to arrive at the minimal clinically important difference. Twenty-four scores met criteria for minimal clinically important change, with a median overall score rounding to 15 points. This finding is an important step in facilitating the application of this disease-specific instrument in practice. Level of evidence III

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Section: Introductionmentioning

confidence: 99%

Minimal clinically important difference of the Trapeziometacarpal Arthrosis Symptoms and Disability questionnaire

Florczynski

Antflek

Baltzer

2022

J Hand Surg Eur Vol

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“…There is major evidence that psychosocial factors—such as catastrophic thinking and symptoms of depression and anxiety—account for more of the variation in CMC1 OA symptom intensity than measure of pathophysiology [ 20 , 21 , 34 ]. To study differences in the magnitude of psychosocial factors before and after CMC1 joint distraction, in this study, we will measure symptoms of pain catastrophizing and of depression with two short questionnaires (PHQ-2 and PCS-4) [ 27 , 28 ].…”

Section: Discussionmentioning

confidence: 99%

Can we decrease the duration of basal thumb joint distraction for early osteoarthritis from 8 to 6 weeks? Study protocol for a non-inferiority randomized controlled trial

Ottenhoff

Teunis

Braakenburg

et al. 2021

Trials

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Background To our knowledge, to date, 52 patients with thumb carpometacarpal osteoarthritis (CMC1 OA) were treated with joint distraction. So far, most patients experienced improved physical function and less pain. After 2 years, only 1 patient proceeded to trapeziectomy. This study assesses if we can safely lower the distraction duration from 8 to 6 weeks for CMC1 joint distraction, maintaining the improvement in physical function and pain. Methods This is a monocenter randomized controlled non-inferiority trial that includes patients younger than 65 years of age with ongoing symptoms of CMC1 OA and an established indication for surgery. All patients will be treated with CMC1 joint distraction. The primary outcome is to assess whether 6 weeks of joint distraction is not inferior to 8 weeks in terms of physical function at 1 year after surgery. Secondary outcomes will identify differences between groups at 1 year in pain intensity, patient satisfaction, hand health status, adverse event rates, treatment failure, differences in thumb strength and range of motion, and radiographic changes. Discussion If safe, the duration of basal thumb joint distraction can be reduced to 6 weeks, reducing patient burden. Because this is a relatively new treatment, this trial will provide greater knowledge of potential adverse events. This knowledge allows for more informed decision making for patients considering CMC1 distraction treatment. Future studies can directly compare joint distraction to other treatments of CMC1 joint arthritis like splinting and trapeziectomy. Trial registration Central Committee on Research Involving Human Subjects (CCMO), NL68225.100.18; registered on 9 August 2019. Medical Research Ethics Committees United (MEC-U), R19.003; registered on 9 August 2019. Netherlands Trial Register, NL8016; registered on 15 September 2019.

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“…It affects nearly everyone at some point in life. However, some authors have speculated that there are factors that lead to earlier or more rapid development of trapeziometacarpal arthrosis [3][4][5][18][19][20] .…”

Section: Etiology Of Trapeziometacarpal Arthrosismentioning

confidence: 99%

Trapeziometacarpal Arthrosis

et al. 2019

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Trapeziometacarpal arthrosis is an expected part of normal human aging.» The radiographic severity of trapeziometacarpal arthrosis may not correlate with symptom intensity or magnitude of limitations.» Psychosocial factors may be important drivers of symptom intensity, magnitude of limitations, and seeking of treatment.» Nonoperative treatment is palliative and not disease-modifying, but may facilitate long-term adaptation.» Current surgical treatment strategies center around trapeziectomy, but it is unclear whether the addition of other stabilization or interposition techniques changes overall outcomes. Epidemiology Disclosure: There was no source of external funding for this study. The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/ JBJSREV/A411).

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Factors Associated With Radiographic Trapeziometacarpal Arthrosis in Patients Not Seeking Care for This Condition

Cited by 21 publications

References 24 publications

Minimal clinically important difference of the Trapeziometacarpal Arthrosis Symptoms and Disability questionnaire

Minimal clinically important difference of the Trapeziometacarpal Arthrosis Symptoms and Disability questionnaire

Can we decrease the duration of basal thumb joint distraction for early osteoarthritis from 8 to 6 weeks? Study protocol for a non-inferiority randomized controlled trial

Trapeziometacarpal Arthrosis

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