Relationship between the articular surface tilt and radiologic laxity of the thumb carpometacarpal joint

Kim, J. H.; Gong, Hyun Sik; Baek, Goo Hyun

doi:10.1177/1753193416645018

Cited by 4 publications

(3 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There were other anatomical parameters of TMC joint, which have been observed in previous articles. Kim et al [ 16 ] reported that articular tilt angles may have necessary effects on TMC disease, which could be an important factor leading to osteoarthritis [ 17 , 18 ]. Usually, the normal nrSSM can measure the variation number and estimate the morphology factors on the subject, but rSSM not only can do the same measurement, but with much more precise analysis, it can indicate more accurate location and shape deformation on the subject.…”

Section: Introductionmentioning

confidence: 99%

A Region-Based Statistical Shape Modeling on the First Trapezoid-Metacarpal

Kaczmarek

et al. 2023

Applied Bionics and Biomechanics

View full text Add to dashboard Cite

A statistical shape model (SSM) based analysis was conducted in our study. We indicated the morphological differences of the first trapezoid-metacarpal (TMC) bone between the region-based statistical shape model (rSSM) and the nonregion-based statistical shape model (nrSSM). We aimed to characterize more specific and accurate variation results to detect and prevent osteoarthritis in an early way. CT image data of TMC from 31 healthy volunteers were simulated with 3D models. A training set of models was analyzed with principal component analysis, with both then- rSSM and rSSM. The region was identified automatically with Gaussian curvature analysis. We found four dominant shape variations from both nrSSM and rSSM. The rSSM showed more variations with fewer components compared with nrSSM. The first principal component revealed the size variation as the biggest component. A significant difference was presented in the second and the fourth principal component from rSSM, showing the torsion of the distal head of the first metacarpal which may increase the risk of osteoarthritis.

show abstract

Section: Introductionmentioning

confidence: 99%

A Region-Based Statistical Shape Modeling on the First Trapezoid-Metacarpal

Kaczmarek

et al. 2023

Applied Bionics and Biomechanics

View full text Add to dashboard Cite

show abstract

“…Two objective radiological signs, the bony offset and the slope angle, have gained attention in the diagnostic evaluation process of patients suffering from PHIT [ 3 , 10 , 12 ]. The slope angle was first described by Kapandji et al [ 3 ] in 2002.…”

Section: Introductionmentioning

confidence: 99%

Radiological Influencing Factors in the Diagnosis of Painful Habitual Instability of the Thumb Basal Joint as a Precursor of Carpometacarpal Arthritis of the Thumb—A Retrospective Study

Winter

Hasiba-Pappas

Kamolz

et al. 2023

JPM

View full text Add to dashboard Cite

Background: Painful habitual instability of the thumb basal joint (PHIT) is a rarely diagnosed condition that can severely impair hand function. Furthermore, it can increase the risk of developing carpometacarpal arthritis of the thumb (CMAOT). Clinical examination and radiographic imaging provide the foundation for a correct diagnosis, but early detection is still challenging. We investigated two objective, radiographically obtainable parameters as potential risk factors for PHIT. Methods: Clinical data and radiographic images of 33 patients suffering from PHIT were collected and compared to those of 35 people serving as the control group. The two main objectives, the slope angle and the bony offset of the thumb joint, were gathered from the X-rays and statistically analyzed. Results: The analysis showed no differences between the study and the control group concerning the slope angle. Gender and the bony offset, on the other hand, had a significant influence. Female sex and higher offset values were associated with an increased risk of PHIT. Conclusions: The results of this study prove a connection between a high bony offset and PHIT. We believe this information can be valuable in early detection and will allow more efficient treatment of this condition in the future.

show abstract

“…Previous studies of the first CMC joint using SSM generally have focused only on non-metric observations (Schneider et al 2015 , 2018 ), the exception being volume quantification of the first metacarpal and trapezium mean models by Schneider et al ( 2015 ). Anatomical measurement (metric observation) of individual parameters, such as first metacarpal articular tilt angle, has not been carried out, although this anatomical feature has been cited as a risk factor for the development of first CMC joint osteoarthritis (Kim et al 2016 ; Kurosawa et al 2013 ; Miura et al 2004 ). Other parameters, such as the width of the trapezium measured in the Robert’s view radiograph, have also been used to determine thumb osteoarthritis indices (Ladd et al 2015 ; Ladd 2018 ).…”

Section: Introductionmentioning

confidence: 99%

Statistical shape modelling of the first carpometacarpal joint reveals high variation in morphology

Rusli

Kedgley

2019

Biomech Model Mechanobiol

View full text Add to dashboard Cite

The first carpometacarpal (CMC) joint, located at the base of the thumb and formed by the junction between the first metacarpal and trapezium, is a common site for osteoarthritis of the hand. The shape of both the first metacarpal and trapezium contributes to the intrinsic bony stability of the joint, and variability in the morphology of both these bones can affect the joint’s function. The objectives of this study were to quantify the morphological variation in the complete metacarpal and trapezium and determine any correlation between anatomical features of these two components of the first CMC joint. A multi-object statistical shape modelling pipeline, consisting of scaling, hierarchical rigid registration, non-rigid registration and projection pursuit principal component analysis, was implemented. Four anatomical measures were quantified from the shape model, namely the first metacarpal articular tilt and torsion angles and the trapezium length and width. Variations in the first metacarpal articular tilt angle (− 6.3° < θ < 12.3°) and trapezium width (10.28 mm < < 11.13 mm) were identified in the first principal component. In the second principal component, variations in the first metacarpal torsion angle (0.2° < α < 14.2°), first metacarpal articular tilt angle (1.0° < θ < 6.4°) and trapezium length (12.25 mm < < 17.33 mm) were determined. Due to their implications for joint stability, the first metacarpal articular tilt angle and trapezium width may be important anatomical features which could be used to advance early detection and treatment of first CMC joint osteoarthritis.

show abstract

Relationship between the articular surface tilt and radiologic laxity of the thumb carpometacarpal joint

Cited by 4 publications

References 4 publications

A Region-Based Statistical Shape Modeling on the First Trapezoid-Metacarpal

A Region-Based Statistical Shape Modeling on the First Trapezoid-Metacarpal

Radiological Influencing Factors in the Diagnosis of Painful Habitual Instability of the Thumb Basal Joint as a Precursor of Carpometacarpal Arthritis of the Thumb—A Retrospective Study

Statistical shape modelling of the first carpometacarpal joint reveals high variation in morphology

Contact Info

Product

Resources

About