Traitement arthroscopique de l'arthrose scaphotrapézotrapézoïdienne (STT)

Rin, F. Da; Mathoulin, Christophe

doi:10.1016/j.main.2006.07.004

Cited by 20 publications

(5 citation statements)

References 7 publications

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“…Arthroscopic distal scaphoid resection was proposed by several authors. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15] Their results, even at different follow-up times, were strongly similar, demonstrating that the technique was effective. Fontes 31 performed an arthroscopic 3 mm distal scaphoid resection in 8 patients (7 STT OA and 1 case of STT arthrodesis nonunion) with excellent results and without complications at 1 year of follow-up.…”

Section: Discussionmentioning

confidence: 99%

“…Arthroscopy of the STT OA has evolved in recent years, producing alternative solutions to open surgery. 4-11,15 It has grown from being used for a simple diagnostic inspection to performing a synovectomy, debridement, 1,2 and, up until now, a resection of the scaphoid’s distal portion. 10,11,14,15 During the surgery, particular attention should be paid to the amount and shape of the scaphoid’s distal portion that is being resected.…”

Section: Discussionmentioning

confidence: 99%

“…The STT dorsal portal is localized between the extensor pollicis brevis and extensor pollicis longus (EPL) tendons or between the EPL and the extensor carpi radialis longus tendons. The dorsal portal is a working portal at the beginning, but the scope might be switched from the MCR to the STT dorsal portal 1,2,9,10,12-14 to allow a complete evaluation of the STT joint. My favorite working portal is the STT radial portal 5 localized between the abductor pollicis longus and EPL, always made in an out-in technique.…”

Section: Surgical Techniquementioning

confidence: 99%

“…Arthroscopic surgery for scapho-trapezium-trapezoid joint osteoarthritis (STT OA) has been proposed by several authors with good results. 1-15 The arthroscopic techniques include debridement and/or resection with or without interposition. Resection is indicated for advanced chondropathy or clear STT arthritis.…”

Section: Introductionmentioning

confidence: 99%

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Arthroscopic Distal Scaphoid Resection for Scapho-Trapezium-Trapezoid Arthritis

Luchetti¹,

Atzei

Cozzolino³

2019

Hand (New York, N,Y.)

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Background: The purpose of this study was to describe the technique of arthroscopic resection of the scaphoid head and evaluate both the clinical and radiographic results of scapho-trapezium-trapezoid osteoarthritis cases. Methods: Seventeen cases (13 men and 4 women) with a mean age of 57 years (24-74 years) were operated on from 2002 to 2015. Inclusion criteria were nontraumatic radial-sided wrist pain without improvement after 4 months of conservative treatment and positive radiographic images demonstrating the presence of osteoarthritis. All cases were evaluated preoperatively and postoperatively using visual analog scale, wrist range of motion (ROM), grip strength, and patient’s work status (Mayo Wrist Score). Disabilities of the Arm, Shoulder, and Hand (DASH) and Patient-Rated Wrist/Hand Evaluation (PRWHE) questionnaires were also administered. The technique consisted of performing a 3- to 4-mm round-shaped scaphoid head resection via arthroscopy while preserving the scaphotrapezial and scaphocapitate ligament insertions. Results: At an average follow-up of 24 months, all the patients were satisfied. The results showed statistically significant improvement in pain at rest ( P = .001), under maximal load ( P = .0001), and in Mayo Wrist Score (MWS) ( P = .0001). Wrist ROM, grip strength, DASH, and PRWHE showed an improvement without reaching statistical significance. The mean preoperative radiolunate (RL) X-ray measurement angle was 17° (–10° to 35°). The postoperative mean value was 25° (0°-45°). In the preoperative radiographic evaluation, 11 cases exceeded the “critical” 15° RL angle. At follow-up, the RL angle increased in 10 cases and remained unchanged in 7 cases. None of these cases became symptomatic. Transitory neurapraxia of the dorsal superficial branch of the radial nerve was observed in 1 case. Damage of the dorsal branch of the radial artery was immediately fixed. Conclusions: Arthroscopic resection of the distal portion of the scaphoid due to scapho-trapezium-trapezoid osteoarthritis demonstrated an effective and safe technique with less complications than open surgery.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Surgical Techniquementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Arthroscopic Distal Scaphoid Resection for Scapho-Trapezium-Trapezoid Arthritis

Luchetti¹,

Atzei

Cozzolino³

2019

Hand (New York, N,Y.)

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“…Searching for more physiological and less invasive procedures, aiming to preserve the axial axis of motion and the degree of clamp force, as well as to reduce the earlier postoperative recovery time, arthroscopy techniques 12 (with or without interposition of structures) and several partial or total replacement prosthesis have been developed.…”

Section: Discussionmentioning

confidence: 99%

Measurement of quality of life among patient undergoing arthroplasty of the thumb to treat CMC arthritis

Aita

Alves

Longuino

et al. 2016

Revista Brasileira de Ortopedia (English Edition)

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ObjectiveTo present the clinical and functional results, including measurement of quality of life, of patients undergoing trapeziometacarpal arthroplasty.MethodThis was a prospective evaluation on 45 patients (53 thumbs) with a diagnosis of idiopathic rhizarthrosis who underwent resection arthroplasty and interposition of an uncemented Ascension® implant, made of pyrocarbon. The clinical and functional results were analyzed through radiography, range of motion (ROM) in degrees (°), visual analog scale (VAS) for pain and the disability of arm, shoulder and hand (DASH) questionnaire for quality of life. In the group analyzed, 38 were women and seven were men, and their mean age was 63.17 years (range: 50–78). Eight patients were treated bilaterally.ResultsAfter 42.08 months of follow-up (range: 8–73), the subjective pain evaluation (VAS) score was 1.37 (range: 1–4). The complete ROM of the thumb increased to 95.75% (range: 75–100%) in relation to the contralateral side. The mean DASH questionnaire score was 9.98 (range: 1–18). The complication rate (negative events) was 11.32%. Five patients presented dislocation of the thumb prosthesis. All of them were reoperated by means of dorsal capsuloplasty using a portion of the retinaculum of the extensors as a graft, and good clinical evolution was achieved in these cases. One patient presented fracturing of the metacarpal and was treated by means of osteosynthesis using Kirschner wires.ConclusionThis method is effective for treating rhizarthrosis, according to the measurements made on the clinical and functional results, even after taking the complication rate into consideration. Moreover, it provides an improvement of quality of life for these patients.

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Partial Trapeziectomy and Soft Tissue Interposition

Cobb

2014

Wrist and Elbow Arthroscopy

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Traitement arthroscopique de l'arthrose scaphotrapézotrapézoïdienne (STT)

Cited by 20 publications

References 7 publications

Arthroscopic Distal Scaphoid Resection for Scapho-Trapezium-Trapezoid Arthritis

Arthroscopic Distal Scaphoid Resection for Scapho-Trapezium-Trapezoid Arthritis

Measurement of quality of life among patient undergoing arthroplasty of the thumb to treat CMC arthritis

Partial Trapeziectomy and Soft Tissue Interposition

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