The prevalence, incidence, and progression of radiographic thumb base osteoarthritis in a population-based cohort: the Rotterdam Study

Teunissen, Joris S; Wouters, Robbert M.; Bierma-Zeintra, S.M.A.; Meurs, Joyce B. J. van; Schreuders, Ton A.R.; Zuidam, J. Michiel; Selles, Ruud W.

doi:10.1016/j.joca.2022.01.003

Cited by 12 publications

(3 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In a large Dutch population cohort study, 8% of men and 15% of women aged under 60 years were found to have basal thumb OA. The incidence increased to 40% in men and 53% in women by the age of 80 years and older (Teunissen et al., 2022). However, the radiographical appearance of this condition does not define the need for surgical treatment, and only a fraction of these older patients seeks medical treatment.…”

Section: Introductionmentioning

confidence: 99%

Basal thumb arthritis surgery: complications and its management

Herren

2024

J Hand Surg Eur Vol

View full text Add to dashboard Cite

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.

show abstract

Section: Introductionmentioning

confidence: 99%

Basal thumb arthritis surgery: complications and its management

Herren

2024

J Hand Surg Eur Vol

View full text Add to dashboard Cite

show abstract

“…Trapeziometacarpal joint (TMJ) osteoarthritis (OA) is a common cause of pain and disability of the hands in postmenopausal women (Dahaghin et al., 2005; Gabay and Gabay, 2013; Gillis et al., 2011; Pellegrini, 2001). Its prevalence in the Dutch population is in the range of 15% to 52% for women and it is positively correlated with age (Teunissen et al., 2022). Numerous surgical techniques have been described for treatment of TMJ OA, including trapeziectomy, trapeziectomy with ligament reconstruction with or without tendon interposition, arthrodesis and total joint arthroplasty (TJA).…”

Section: Introductionmentioning

confidence: 99%

Total joint arthroplasty versus trapeziectomy in the treatment of trapeziometacarpal joint arthritis: a randomized controlled trial

Jong

Bonhof-Jansen

Brink

et al. 2023

J Hand Surg Eur Vol

View full text Add to dashboard Cite

The aim of this double anonymized, randomized controlled trial was to determine whether total joint arthroplasty has superior outcomes than trapeziectomy 1 year after surgery for trapeziometacarpal osteoarthritis. A total of 62 women aged 40 years and older, scheduled for surgery for stage II or III osteoarthritis of the trapeziometacarpal joint, were included and randomized to trapeziectomy or total joint arthroplasty. The primary outcome was the total score of the Michigan Hand Outcomes Questionnaire. Secondary outcomes were the Michigan Hand Outcomes Questionnaire subscale scores, Disability of the Arm, Shoulder and Hand Questionnaire, active range of motion, strength, return to work, patient satisfaction and complications. Data were collected at baseline and at 3 and 12 months. At 1 year, we found no superiority of total joint arthroplasty over trapeziectomy regarding the total score of the Michigan Hand Outcomes Questionnaire. The total joint arthroplasty did show a significant advantage in strength and range of motion. Level of evidence: I

show abstract

“…Radiographic findings of thumb carpometacarpal joint (CMCJ) osteoarthritis (OA) are commonly found in postmenopausal women, of which more than half of them experienced symptoms such as pain and decreased range of motion in the affected hand [1,2]. In the 1950s, trapeziectomy was the preferred technique due to its predictable postoperative pain relief results [3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Effect of intraoperative hand-grip position on surgical outcome of thumb carpometacarpal arthrodesis

Lee,

Chung,

Wang

et al. 2023

J Orthop Surg Res

View full text Add to dashboard Cite

Background A variety of surgical techniques had been developed over the past few decades for treating thumb carpometacarpal joint (CMCJ) osteoarthritis (OA). However, there are currently no accepted consensus on the ideal treatment for thumb CMCJ OA. Arthrodesis was one of the widely popular treatment methods; however, studies have showed that non-union rates were as high as 50%, with higher complications such as osteoarthritis of neighbouring joints and higher revision surgeries required as compared to other surgical methods. Patients with arthrodesis were also reported to have decreased thumb range of motion and loss of opponens function. Currently, there are numerous intraoperative positioning techniques for arthrodesis which could be confusing for young surgeons. With recent developments of fixation plates and better understanding of the wrist anatomy, this retrospective review aimed to evaluate the efficacy of our intraoperative hand-grip positioning method for arthrodesis of thumb CMCJ OA. What are the postoperative functional outcomes of (1) T-hook plates and (2) our intraoperative hand-grip positioning method for Eaton III thumb CMCJ OA arthrodesis by evaluating pain visual analogue scale (VAS) score, Disabilities of the Arm, Shoulder and Hand questionnaires (DASH), Mayo Wrist scores, capability of thumb opposition (Kapandji score), and comparing pre- and postoperative grip and pinch strength? Methods Twenty patients with CMCJ OA underwent arthrodesis using our intraoperative hand-grip positioning method and T-hook plates and screws (Acumed, USA). Patients were evaluated preoperatively and at 1, 3, 6 and 12 months postoperatively. Radiologic assessment including fusion evaluation, evaluation of radial and palmar abduction angles was done on hand X-rays. Results Twenty patients with a minimum follow-up duration of 12 months were included in this study. 100% fusion rate was achieved with only 1 case of complication involving radial sensory nerve neuropathy which was resolved after removal of implant and neurolysis. Significant improvement in pain and Mayo Wrist scores were noted 3 months postoperatively, whilst DASH score exhibited significant improvements after 6 months of follow-up (p < 0.05). Even though there were no significant differences observed between preoperative and postoperative grip strength, pinch strength and Kapandji scores, positive recovery trends were noted for all parameters with these functions surpassing preoperative levels after 12 months of follow-up. Significant improvements on hand X-rays were also noted for both postoperative radial and palmar abduction angles. Conclusions There is currently no consensus on the ideal treatment method for thumb CMCJ OA. In this study, we would like to propose a simple intraoperative hand-grip positioning method with T-hook plates for arthrodesis. As seen from our results, our technique was able to provide satisfactory and replicable postoperative results and thus we would like to propose our hand-grip positioning method with T-hook plates fixation for subsequent treatment of patients with Eaton stage III thumb CMCJ OA.

show abstract

The prevalence, incidence, and progression of radiographic thumb base osteoarthritis in a population-based cohort: the Rotterdam Study

Cited by 12 publications

References 27 publications

Basal thumb arthritis surgery: complications and its management

Basal thumb arthritis surgery: complications and its management

Total joint arthroplasty versus trapeziectomy in the treatment of trapeziometacarpal joint arthritis: a randomized controlled trial

Effect of intraoperative hand-grip position on surgical outcome of thumb carpometacarpal arthrodesis

Contact Info

Product

Resources

About