Selective Thumb Carpometacarpal Joint Denervation for Painful Arthritis: Follow-Up of Long-Term Clinical Outcomes

Suresh, Visakha; Frost, Charles; Lifchez, Scott D.

doi:10.1016/j.jhsg.2022.02.005

Cited by 8 publications

(4 citation statements)

References 29 publications

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“…A total of 384 denervations were performed in 351 patients. Twelve of these patients were described in two publications (Suresh et al 19 and Tuffaha et al 20 ). Furthermore, overlap between the patient groups in the two publications by Ehrl et al 21 22 could not be excluded.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Four groups added additional procedures during the surgery: Dellon 27 injected the nerve endings with lidocaine and removed volar osteophytes, Ehrl et al 21 22 performed synovectomy and excised osteophytes, followed by saline irrigation of the joint. Arenas-Prat 28 performed periosteal resection of the first metacarpal and Suresh et al 19 report anaesthesia with lidocaine of articular branches.…”

Section: Cmcj-i Denervationmentioning

confidence: 99%

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Surgical denervation as a treatment strategy for pain in hand osteoarthritis: a systematic literature review

Meulen

Stadt²,

Claassen³

et al. 2023

RMD Open

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ObjectiveSurgical denervation has been proposed as a treatment for pain in hand osteoarthritis (OA). This review aimed to summarise the available evidence and to propose a research agenda.MethodsA systematic literature search was performed up to September 2022. Two investigators independently identified studies that reported on denervation for OA of the proximal interphalangeal, distal interphalangeal, metacarpophalangeal or carpometacarpal joints. Quality of studies was assessed and study characteristics, patient characteristics, details of the surgical technique and outcomes of the surgery were extracted.ResultsOf 169 references, 17 articles reporting on 384 denervations in 351 patients were selected. Sixteen case series reported positive outcomes with respect to pain, function and patient satisfaction. One non-randomised clinical trial reported no difference in outcome when comparing denervation of the first carpometacarpal (CMC I) joint to trapeziectomy. Adverse events were frequent, with sensory abnormalities occurring the most, followed by the need for revision surgery. All studies had significant risk of bias.ConclusionSurgical denervation for pain in hand OA shows some promise, but the available evidence does not allow any conclusions of efficacy and higher-quality research is needed. Techniques should be harmonised and more data regarding how denervation compares to current usual care, other denervation methods or placebo in terms of outcomes and adverse events are needed.

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Section: Study Characteristicsmentioning

confidence: 99%

Section: Cmcj-i Denervationmentioning

confidence: 99%

Surgical denervation as a treatment strategy for pain in hand osteoarthritis: a systematic literature review

Meulen

Stadt²,

Claassen³

et al. 2023

RMD Open

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“…The most common procedures for advanced thumb basal joint arthritis include trapeziectomy with or without any type of interposition, implant arthroplasty and joint fusion. In contrast, joint-preserving procedures are much less commonly performed and mainly comprise denervation, metacarpal osteotomy and joint stabilization (Rath et al., 2023; Spielman et al., 2022; Suresh et al., 2023). The risk profile associated with these methods is different and often involves another patient population.…”

Section: Surgeries Performed For Advanced Osteoarthritis Of the Thumb...mentioning

confidence: 99%

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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“…They report that 4 of 9 patients had maintained complete alleviation of pain at 5 years postoperatively. Three patients underwent secondary surgical procedures within 17 to 66 months of the denervation procedure 71 .…”

Section: Operative Treatmentmentioning

confidence: 99%

Management of Scaphotrapeziotrapezoid Osteoarthritis

Alder,

Feroe,

Karim

2023

JBJS Reviews

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» The scaphotrapeziotrapezoid (STT) joint is a common location of degenerative osteoarthritis (OA) in the wrist.» STT OA may occur in isolation or with concomitant thumb carpometacarpal joint (CMCJ) OA or scapholunate advanced collapse (SLAC) and other wrist OA patterns.» Nonoperative management strategies include activity modification, bracing, anti-inflammatory medications, occupational therapy, and injections.» Surgical treatment may be determined by whether the STT OA occurs in isolation or with concomitant thumb CMCJ or SLAC OA and includes STT arthrodesis, distal scaphoid excision with or without interposition or implant arthroplasty, trapeziectomy with proximal trapezoid excision, four-corner fusion in combination with scaphoid/radial column excision, and proximal row carpectomy.

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Selective Thumb Carpometacarpal Joint Denervation for Painful Arthritis: Follow-Up of Long-Term Clinical Outcomes

Cited by 8 publications

References 29 publications

Surgical denervation as a treatment strategy for pain in hand osteoarthritis: a systematic literature review

Surgical denervation as a treatment strategy for pain in hand osteoarthritis: a systematic literature review

Basal thumb arthritis surgery: complications and its management

Management of Scaphotrapeziotrapezoid Osteoarthritis

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