Management of the Metacarpophalangeal and Scaphotrapeziotrapezoidal Joints in Patients with Thumb Trapeziometacarpal Arthrosis

Bridgforth, Andrew; Ross, Phillip R.

doi:10.1016/j.hcl.2021.12.007

Cited by 2 publications

(2 citation statements)

References 33 publications

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“…Instability of the thumb MCP joint, either primary or secondary, is a frequent problem observed in primary thumb CMC OA. The collapse of the thumb, which is often accompanied with significant adduction contracture, leads to a compensatory hyperextension of the MCP joint (Bridgforth and Ross, 2022). In most cases, resection arthroplasty of the thumb CMC joint cannot compensate for the collapse and thus does not substantially add to stabilizing the first MCP joint.…”

Section: Complications Based On the Different Treatment Interventionsmentioning

confidence: 99%

“…The main problem of this instability is the loss of force in pinching. Revision surgery for the stabilization of this joint includes soft tissue procedures, such as capsulodesis (Bridgforth and Ross, 2022; Degeorge et al., 2021; Rayan and Do, 2013), sesamoid fixation (Deml et al., 2015; Zouzias et al., 2011) or MCP joint fusion (Bridgforth and Ross, 2022; Degeorge et al., 2021). Although there is no evidence to support one method over another, joint fusion seems to provide the most predictable results, especially for cases of severe instability and for those with osteoarthritic changes of this joint (Degeorge et al., 2021).…”

Section: Complications Based On the Different Treatment Interventionsmentioning

confidence: 99%

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Basal thumb arthritis surgery: complications and its management

Herren

2024

J Hand Surg Eur Vol

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The management of complications after surgery for basal thumb arthritis is sometimes challenging, and there are no clear recommendations on how to evaluate and manage patients with residual symptoms. The aim of the present article was to review the most common complications after surgery for basal thumb arthritis, with an emphasis on resection arthroplasty, joint replacement and joint fusion. In addition, possible management strategies for the different types of complications will be highlighted.

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Section: Complications Based On the Different Treatment Interventionsmentioning

confidence: 99%

Section: Complications Based On the Different Treatment Interventionsmentioning

confidence: 99%

Basal thumb arthritis surgery: complications and its management

Herren

2024

J Hand Surg Eur Vol

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Extracorporeal Shock Wave Therapy (ESWT) vs. Exercise in Thumb Osteoarthritis (SWEX-TO): Prospective Clinical Trial at 6 Months

Covelli,

De Giorgi,

Di Lorenzo

et al. 2024

Life

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Rhizarthrosis is the most frequent form of osteoarthritis and is responsible for pain, disability and reduced functionality. The aim of the study is to investigate the clinical effects of shock wave treatment in patients suffering from arthritis of the first finger. A prospective clinical study was designed, in which 72 patients affected by rhizarthrosis were randomized to treatment with shock waves or exercises; in both groups an immobilization brace was used on the first finger. At recruitment and at 1, 3 and 6 months, patients received assessments of pain (VAS), functionality (FIHOA) and disability (DASH); furthermore, the perception of improvement was monitored during follow-ups (Roles and Maudsley Score). In both groups there was a significant improvement in all scores in the comparison between recruitment and 6 months. The perception of improvement was statistically better in the shock wave group than in the exercise group at 1, 3 and 6 months. The regression analysis showed that the reduction of VAS and DASH were statistically influenced by shock wave treatment (p < 0.001). Both therapies are effective in managing patients suffering from arthritis of the first finger, but the shock wave treatment could ensure greater persistence of improvements.

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Management of the Metacarpophalangeal and Scaphotrapeziotrapezoidal Joints in Patients with Thumb Trapeziometacarpal Arthrosis

Cited by 2 publications

References 33 publications

Basal thumb arthritis surgery: complications and its management

Basal thumb arthritis surgery: complications and its management

Extracorporeal Shock Wave Therapy (ESWT) vs. Exercise in Thumb Osteoarthritis (SWEX-TO): Prospective Clinical Trial at 6 Months

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