Thumb carpometacarpal joint denervation for primary osteoarthritis: A prospective study of 31 thumbs

Giesen, Thomas; Klein, Holger Jan; Franchi, Alberto; Medina, J. A.; Elliot, David

doi:10.1016/j.hansur.2017.01.007

Cited by 19 publications

(23 citation statements)

References 10 publications

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“…The Eaton criteria were used for OA staging in 2 studies, which included patients with stage 2 (n = 20), stage 3 (n = 20), and stage 4 (n = 4) OA. 14 , 17 Giesen et al 16 used the Dell classification, including patients with stage 1 (n = 2), stage 2 (n = 3), stage 3 (n = 10), and stage 4 (n = 16) OA. Patient characteristics and follow-up times are listed in Table 1 .…”

Section: Resultsmentioning

confidence: 99%

“…In addition to those 3 branches, Lorea, Giesen and Arenas-Prat also resected the articular branches extending from the recurrent branch of the median nerve. 23 , 24 The study by Giesen et al 16 was the only one resecting the posterior interosseous nerve (PIN) in the fourth extensor compartment just proximal to the wrist to prevent potential reinnervation of the first CMC joint.…”

Section: Resultsmentioning

confidence: 99%

“…Three studies reported changes in pain following denervation of the CMC joint using the VAS or NRS score. 14 , 16 , 19 The baseline pain scores and postoperative pain scores from these studies were pooled and analyzed using a 2-sided paired t test (α = 0.05). 14 , 16 , 19 This group had a combined sample size of 80 patients (61 women and 19 men) and 84 thumbs with a mean age (±SD) of 62.53 ± 2.03 years.…”

Section: Resultsmentioning

confidence: 99%

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Denervation as a Treatment for Arthritis of the Hands: A Systematic Review of the Current Literature

Zhu

Chin

Sarraj

et al. 2021

Hand (New York, N,Y.)

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Joint denervation has been proposed as a less invasive option for surgical management of hand arthritis that preserves joint anatomy while treating pain and decreasing postoperative recovery times. The purpose of this systematic review was to investigate the efficacy and safety of surgical joint denervation for osteoarthritis in the joints of the hand. EMBASE, MEDLINE, and PubMed databases were searched from January 2000 to March 2019. Studies of adult patients with rheumatoid arthritis or osteoarthritis of the hand who underwent joint denervation surgery were included. Two reviewers performed the screening process, data abstraction, and risk of bias assessment (Methodological Index for Non-Randomized Studies). This review followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and was registered with PROSPERO (#125811). Ten studies were included, 9 case series and 1 cohort study, with a total of 192 patients. In all studies, joint denervation improved pain and hand function at follow-up (M = 36.8 months, range = 3-90 months). Pooled analysis of 3 studies on the first carpometacarpal joint showed a statistically significant ( P < .001) reduction in pain scores from baseline (M = 6.61 ± 2.03) to postoperatively (M = 1.69 ± 1.27). The combined complication rate was 18.8% (n = 36 of 192), with neuropathic pain or unintended sensory loss (8.8%, n = 17 of 192) being the most common. This review suggests that denervation may be an effective and low-morbidity procedure for treating arthritis of the hand. Prospective, comparative studies are required to further understand the outcomes of denervation compared with traditional surgical interventions.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Denervation as a Treatment for Arthritis of the Hands: A Systematic Review of the Current Literature

Zhu

Chin

Sarraj

et al. 2021

Hand (New York, N,Y.)

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“…однако T. Giesen с соавторами, выполнившие аналогичное исследование, отметили возобновление боли спустя 13 мес. во всех случаях, хотя и не до исходного уровня [39]. M. poupon с соавторами, детально изучив морфологию сустава, установили значительную вариабельность его иннервации [40].…”

Section: хирургическое лечение начальных стадий ризартрозаunclassified

“…T. Giesen с соавторами указывают на возможность применения метода у молодых пациентов на I-II стадии артроза по R.G. eaton при отсутствии эффекта консервативного лечения, что позволяет отсрочить вмешательство на суставе на несколько лет [39].…”

Section: хирургическое лечение начальных стадий ризартрозаunclassified

Surgical Treatment of Trapeziometacarpal Osteoarthritis (Review)

Rodomanova¹,

Орлова

2018

Traumatology and Orthopedics of Russia

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The sellar joint plays a key role in wrist function ensuring thumb contraposition when gripping. Lesions of sellar joint are accompanied by pain syndrome and deformity of the first metacarpal which substantially affects life quality of the patients. The authors carried the analysis of literature dedicated to surgical treatment of degenerative lesions of trapeziometacarpal joint. The present review describes features of joint anatomy and biomechanics, reports the key factors contributing to disease progression, covers various approaches and criteria for selection of surgical options for reconstruction of sellar joint.

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Radial Wrist Denervation

Dellon

2019

Joint Denervation

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Thumb carpometacarpal joint denervation for primary osteoarthritis: A prospective study of 31 thumbs

Cited by 19 publications

References 10 publications

Denervation as a Treatment for Arthritis of the Hands: A Systematic Review of the Current Literature

Denervation as a Treatment for Arthritis of the Hands: A Systematic Review of the Current Literature

Surgical Treatment of Trapeziometacarpal Osteoarthritis (Review)

Radial Wrist Denervation

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