Osteoarthritis of the Wrist STT Joint and Radiocarpal Joint

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

doi:10.1155/2012/242159

Cited by 28 publications

(25 citation statements)

References 11 publications

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“…None of our cases (both the SLAC and the alternative pattern group) had clinical evidence of midcarpal instability. The significance of the variation in capitate or lunate morphology could not be addressed because of the small size of this series, but when there was a lunate type 2, the OA involved the hamate as well [7][8][9][10] (►Figure 1a, b). Tenderness was measured on a scale of 0-10, 0 being no pain/tenderness and 10 being maximal pain and tenderness.…”

Section: Discussionmentioning

confidence: 94%

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: Discussionmentioning

confidence: 94%

Isolated Lunocapitate Osteoarthritis—An Alternative Pattern of Osteoarthritis

2014

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“…Little is known about the pathology, despite STT-OA being the second most frequent osteoarthritis of the wrist. 7 As with rhizarthrosis, not all STT-OA patients have symptoms. Even in those with symptoms, the intensity of the complaint is not proportional to the degree of degeneration.…”

Section: Discussionmentioning

confidence: 99%

“…Even in those with symptoms, the intensity of the complaint is not proportional to the degree of degeneration. 7,14 It is known that women after menopause are the most affected, although the diagnosis is occasionally difficult to achieve. Nonspecific symptoms of diffuse pain at the base of the thumb and at the dorsoradial wrist, swelling, loss of pinch strength, and restriction of thumb opposition and abduction are common complaints and also hamper the diagnosis.…”

Section: Discussionmentioning

confidence: 99%

“…1 Most patients with STT-OA have no symptoms; as a result, they are not diagnosed, which leads to an underestimation of the exact prevalence. 7 In addition, STT-OA can produce diffuse symptoms, such as pain at the base of the thumb and on the thenar eminence, along with loss of strength and mobility, and patients often cannot clearly explain their complaints, thus making the diagnosis difficult. 8 The role of the STT joint in wrist biomechanics has not been fully understood, especially in cases in which it is affected by OA 7 (►Fig.…”

Section: Introductionmentioning

confidence: 99%

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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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“…2). The MCPJs, DIPJs, proximal interphalangeal joints, interphalangeal joint of the thumbs, first carpometacarpal (CMC) joints and scaphotrapeziotrapezoidal joint of the wrists [33] were scored. Radiographic features were graded for the degree of osteophytosis, joint space narrowing, malalignment, presence of central erosions, subchondral sclerosis and subchondral cyst formation (Fig.…”

Section: Methodsmentioning

confidence: 99%

18F-FDG PET of the hands with a dedicated high-resolution PEM system (arthro-PET): correlation with PET/CT, radiography and clinical parameters

Mhlanga

Carrino

Lodge

et al. 2014

Eur J Nucl Med Mol Imaging

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Purpose The aim of this study was to prospectively determine the feasibility and compare the novel use of a positron emission mammography (PEM) scanner with standard PET/CT for evaluating hand osteoarthritis (OA) with 18F-FDG. Methods Institutional review board approval and written informed consent were obtained for this HIPAA-compliant prospective study in which 14 adults referred for oncological 18F-FDG PET/CT underwent dedicated hand PET/CT followed by arthro-PET using the PEM device. Hand radiographs were obtained and scored for the presence and severity of OA. Summed qualitative and quantitative joint glycolytic scores for each modality were compared with the findings on plain radiography and clinical features. Results Eight patients with clinical and/or radiographic evidence of OA comprised the OA group (mean age 73±7.7 years). Six patients served as the control group (53.7±9.3 years). Arthro-PET quantitative and qualitative joint glycolytic scores were highly correlated with PET/CT findings in the OA patients (r=0.86. p =0.007; r=0.94, p=0.001). Qualitative arthro-PET and PET/CT joint scores were significantly higher in the OA patients than in controls (38.7±6.6 vs. 32.2±0.4, p=0.02; 37.5±5.4 vs. 32.2±0.4, p=0.03, respectively). Quantitative arthro-PET and PET/CT maximum SUV-lean joint scores were higher in the OA patients, although they did not reach statistical significance (20.8±4.2 vs. 18±1.8, p= 0.13; 22.8±5.38 vs. 20.1±1.54, p=0.21). By definition, OA patients had higher radiographic joint scores than controls (30.9±31.3 vs. 0, p=0.03). Conclusion Hand imaging using a small field of view PEM system (arthro-PET) with FDG is feasible, performing comparably to PET/CT in assessing metabolic joint activity. Arthro-PET and PET/CT showed higher joint FDG uptake in OA. Further exploration of arthro-PET in arthritis management is warranted.

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Osteoarthritis of the Wrist STT Joint and Radiocarpal Joint

Cited by 28 publications

References 11 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

18F-FDG PET of the hands with a dedicated high-resolution PEM system (arthro-PET): correlation with PET/CT, radiography and clinical parameters

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