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Rhizarthrosis

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https://www.readbyqxmd.com/read/29475781/comparative-functional-analysis-between-pyrolytic-carbon-prostheses-and-ligamentous-suspension-reconstruction-in-the-treatment-of-rhizarthrosis
#1
M Cuenca-Llavall, X Lizano-Díez, M Cruz-Sánchez, J Cebamanos-Celma, G Pidemunt-Moli
OBJECTIVE: To evaluate midterm functional outcome after pyrolytic carbon prosthesis (PyroDisk) implantation in the treatment of rhizarthrosis of the thumb, comparing outcomes with those of ligamentous resection/suspension/reconstruction. MATERIAL AND METHODS: A cross-sectional study retrospectively comparing 2patient groups aged between 40 and 65 years with rhizarthrosis of the thumb. Thirty-two patients operated between 2009 and 2013 were distributed between group i (interposition arthroplasy with PyroDisk implant) and group ii (ligamentous resection/suspension/reconstruction arthroplasty)...
February 20, 2018: Revista Española de Cirugía Ortopédica y Traumatología
https://www.readbyqxmd.com/read/29036545/rhizarthrosis-in-banknote-processing-workers-a-retrospective-cohort-study
#2
G Verrijdt, A De Landtsheer, A Mellen, L Godderis
Background: Rhizarthrosis, or osteoarthritis of the base of the thumb, is a common condition affecting 10-30% of the population over the age of 60. Whether it is an occupational disease has been the subject of debate as epidemiological studies on the correlation between physical stress and the presence of rhizarthrosis have shown conflicting results. Aims: To study the correlation between the prevalence of rhizarthrosis and the time spent by employees manually processing banknotes at the National Bank of Belgium (NBB)...
December 2, 2017: Occupational Medicine
https://www.readbyqxmd.com/read/28762056/functional-brain-effects-of-hand-disuse-in-patients-with-trapeziometacarpal-joint-osteoarthritis-executed-and-imagined-movements
#3
Martina Gandola, Maurilio Bruno, Laura Zapparoli, Gianluca Saetta, Elena Rolandi, Antonio De Santis, Giuseppe Banfi, Alberto Zerbi, Valerio Sansone, Eraldo Paulesu
The human trapeziometacarpal (TMC) joint has a crucial evolutionary importance as it permits rotation and opposition of the thumb to the other fingers. In chronic TMC joint osteoarthritis (i.e., rhizarthrosis), this motor ability, essential for pinching, grasping, and manipulating objects, may become difficult or impossible due to intolerable pain. Here, we assess whether patients with rhizarthrosis show signs of abnormal brain representation of hand movements. To this end, we studied 35 patients with rhizarthrosis, affecting predominantly one of the two hands, and 35 healthy subjects who underwent both behavioural and fMRI measures of brain activity during overtly executed or imagined thumb-to-finger-opposition movements...
October 2017: Experimental Brain Research. Experimentelle Hirnforschung. Expérimentation Cérébrale
https://www.readbyqxmd.com/read/28392718/single-arm-open-label-study-of-durolane-nasha-nonanimal-hyaluronic-acid-for-the-treatment-of-osteoarthritis-of-the-thumb
#4
Eloisa Velasco, Mª Victoria Ribera, Joan Pi
INTRODUCTION: Osteoarthritis of the trapeziometacarpal (TMC) joint of the thumb - also known as rhizarthrosis - is painful and has a significant impact on quality of life. Intra-articular injection of hyaluronic acid may potentially meet the need for effective, minimally invasive intervention in patients not responding adequately to initial treatment. We aimed to confirm the safety and effectiveness of viscosupplementation with Durolane (NASHA nonanimal hyaluronic acid) in rhizarthrosis...
2017: Open Access Rheumatology: Research and Reviews
https://www.readbyqxmd.com/read/28005235/examination-of-the-applicability-of-the-disabilities-of-the-arm-shoulder-and-hand-dash-questionnaire-to-patients-with-hand-injuries-and-diseases-using-rasch-analysis
#5
Kathrin Braitmayer, Caroline Dereskewitz, Cornelia Oberhauser, Klaus-Dieter Rudolf, Michaela Coenen
BACKGROUND: The Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire is the most commonly applied patient-reported outcome measure used to assess disability and functioning in clinical research and practice for patients with injuries and diseases of the upper extremities. The objective of this study was to assess whether the DASH is a valid and reliable questionnaire to measure disability and functioning in patients with hand injuries and diseases using Rasch analysis. METHODS: We performed a psychometric study using data derived from two multicentre studies carried out to develop the International Classification of Functioning, Disability and Health (ICF) Core Sets for Hand Conditions...
June 2017: Patient
https://www.readbyqxmd.com/read/27738705/-replacement-of-the-thumb-carpometacarpal-joint-current-importance-of-endoprosthetics-for-operative-treatment-of-rhizarthrosis
#6
REVIEW
E Kollig, D Bieler, A Franke
The role of joint replacement in the treatment of osteoarthritis of the thumb carpometacarpal joint is a subject of considerable controversy in the current literature. In German-speaking countries this technique is used much less frequently than resection procedures. Aseptic loosening of the prosthesis is believed to be the major cause of the high failure rates reported for cemented and uncemented types of implants. In this study the different implant designs were evaluated on the basis of the results reported in the international literature...
December 2016: Der Unfallchirurg
https://www.readbyqxmd.com/read/27517022/measurement-of-quality-of-life-among-patient-undergoing-arthroplasty-of-the-thumb-to-treat-cmc-arthritis
#7
Marcio Aurélio Aita, Rafael Saleme Alves, Luis Felipe Longuino, Carlos Henrique Vieira Ferreira, Douglas Hideki Ikeuti, Luciano Muller Reis Rodrigues
OBJECTIVE: To present the clinical and functional results, including measurement of quality of life, of patients undergoing trapeziometacarpal arthroplasty. METHOD: This 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...
July 2016: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/27300369/the-field-size-matters-low-dose-external-beam-radiotherapy-for-thumb-carpometacarpal-osteoarthritis-importance-of-field-size
#8
Alexander Kaltenborn, Elke Bulling, Mirko Nitsche, Ulrich Martin Carl, Robert Michael Hermann
The purpose of this work was to evaluate the efficacy of low-dose radiotherapy (RT) for thumb carpometacarpal osteoarthritis (rhizarthrosis). The responses of 84 patients (n = 101 joints) were analyzed 3 months after therapy (n = 65) and at 12 months (n = 27). Patients were treated with 6 fractions of 1 Gy, two times a week, with a linear accelerator. At the end of therapy, about 70 % of patients reported a response (partial remission or complete remission), 3 months later about 60 %, and 1 year after treatment 70 %...
August 2016: Strahlentherapie und Onkologie: Organ der Deutschen Röntgengesellschaft ... [et Al]
https://www.readbyqxmd.com/read/27026991/surgical-treatment-of-rhizarthrosis-trapeziectomy-with-or-without-ligamentoplasty-versus-total-prosthesis
#9
Claudia Santos, Manuel Alexandre Pereira, Luis Fernando Nunes Pires Silva, Rui Miguel Teixeira Claro, Miguel Nuno Albuquerque Cardoso Trigueiros, Joaquim César Ferreira da Silva
OBJECTIVE: The aim of this study was to review cases that underwent surgical treatment using two techniques: trapeziectomy with or without ligamentoplasty and arthroplasty with implant. METHODS: Fifty-two hands that were surgically treated for rhizarthrosis between 1995 and 2008 were evaluated: 32 cases of trapeziectomy with or without ligamentoplasty (group A) and 20 with implant arthroplasty (group B). The mean follow-up for group A was 72 months and for group B, 23 months...
January 2011: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/27026990/arthroplasty-for-trapezium-excision-and-tendon-interposition-in-rhizarthrosis-cases-prospective-study
#10
Walter Gomes Pinheiro Junior, Renan Moukbel Chaim, Henrique Bella Freire de Carvalho, Walter Manna Albertoni, Flávio Faloppa, João Baptista Gomes Dos Santos
OBJECTIVE: To prospectively evaluate the results from a series of patients who underwent surgical treatment for rhizarthrosis using the technique of trapezium resection associated with interposition of yarn from the long abductor tendon of the thumb. METHODS: From May to August 2005, ten patients underwent surgical treatment for rhizarthrosis. Patients with primary osteoarthrosis of the trapezium-metacarpal joint, in stages II, III and IV of the Eaton classification, with persistent pain that was refractory to clinical treatment, were included...
January 2011: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/26936062/-surgical-treatment-for-advanced-rhizarthrosis-comparison-of-results-of-the-burton-pellegrini-technique-and-trapeziometacarpal-joint-arthroplasty
#11
COMPARATIVE STUDY
J Jurča, M Němejc, V Havlas
PURPOSE OF THE STUDY: The aim of the study was to compare results of the Burton-Pellegrini trapeziectomy with ligamentoplasty using the flexor carpi radialis tendon with those of trapeziometacarpal joint replacement in the treatment of advanced rhizarthrosis. MATERIAL AND METHODS: A group of 17 patients, 15 men and two women, underwent trapeziectomy with ligamentoplaty; in 12 of them, the dominant hand was involved. The trapeziometacarpal joint prosthesis Beznoska was implanted in 11 patients (10 men and one woman) with seven dominant and four non-dominant hands...
2016: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
https://www.readbyqxmd.com/read/26453111/injections-for-treatment-of-carpometacarpal-osteoarthritis-rhizarthrosis-what-is-the-evidence
#12
EDITORIAL
Christian Hubert Roux, Liana Euller-Ziegler
No abstract text is available yet for this article.
March 2016: Joint, Bone, Spine: Revue du Rhumatisme
https://www.readbyqxmd.com/read/26150189/chondrogenic-capability-of-osteoarthritic-chondrocytes-from-the-trapeziometacarpal-and-hip-joints
#13
Arianna B Lovati, Alessandra Colombini, Camilla Recordati, Cristina Ceriani, Luigi Zagra, Gianfranco Berzero, Matteo Moretti
Osteoarthritis is the most common degenerative disease of joints like the hip and the trapeziometacarpal joint (rhizarthrosis). In this in vitro study, we compared the chondrogenesis of chondrocytes derived from the trapezium and the femoral head cartilage of osteoarthritic patients to have a deeper insight on trapezium chondrocyte behavior as autologous cell source for the repair of cartilage lesions in rhizarthrosis. Chondrocytes collected from trapezium and femoral head articular cartilage were cultured in pellets and analyzed for chondrogenic differentiation, cell proliferation, glycosaminoglycan production, gene expression of chondrogenic and fibrous markers, histological and immunohistochemical analyses...
March 2016: Cell and Tissue Banking
https://www.readbyqxmd.com/read/26149634/-comparative-clinical-study-of-2-surgical-techniques-for-trapeziometacarpal-osteoarthritis
#14
COMPARATIVE STUDY
F Martínez-Martínez, S García-Hortelano, J P García-Paños, J M Moreno-Fernández, M Á Martín-Ferrero
OBJECTIVE: In trapeziometacarpal osteoarthritis (or rhizarthrosis), there is great controversy over the surgical technique to choose: simple trapeziectomy, resection-interposition arthroplasty, interposition arthroplasty suspension-or arthroplasty with implant or prosthesis. These latter 2 are the most used without consensus in the literature on the technique to choose and without sufficient comparative studies. The objective is to compare the 2 techniques most used today: suspension-interposition arthroplasty and arthroplasty with prosthesis...
January 2016: Revista Española de Cirugía Ortopédica y Traumatología
https://www.readbyqxmd.com/read/25706175/-primary-results-using-the-mini-tightrope-for-revision-surgery-for-painful-proximalisation-of-the-first-metacarpal-after-trapezectomy-for-cmc-1-osteoarthritis
#15
Gabor Szalay, T Scheufens, V Alt, U Thormann, C Heiss
AIM: The aim of the current study was to review the significance of the TightRope to suspend the first metacarpal in the case of a revision for patients with painful proximalisation after trapezectomy. PATIENTS AND METHOD: After an average of 25.5 months (13-60) from initial operative treatment for rhizarthrosis, revision surgery was performed on 6 female patients with a mean age of 56 years, using a Mini TightRope. Before and after revision-surgery the pain level was measured, using the visual analogue scale (1-10) as was the level of strength in the fingertips...
February 2015: Handchirurgie, Mikrochirurgie, Plastische Chirurgie
https://www.readbyqxmd.com/read/25515900/-arthritis-of-the-thumb-rhizarthrosis-in-the-elderly
#16
REVIEW
Gilles Berrut
Osteoarthritis of the base of the thumb is a common and painful condition, mostly observed in post menopausal women. This paper proposes a critical review of the recent papers in the point of view of geriatric medicine. The basal joint of the thumb is formed by the trapeziometacarpal joint and the carpometacarpal joint of the thumb. The trapeziometacarpal joint is a saddle joint with a wide mobility. The trapezium is most important bone which authorizes movement of rotation towards every finger of the hand...
December 2014: Gériatrie et Psychologie Neuropsychiatrie du Vieillissement
https://www.readbyqxmd.com/read/25311256/comparative-efficacy-of-intra-articular-hyaluronic-acid-and-corticoid-injections-in-osteoarthritis-of-the-first-carpometacarpal-joint-results-of-a-6-month-single-masked-randomized-study
#17
RANDOMIZED CONTROLLED TRIAL
Jordi Monfort, Delfin Rotés-Sala, Nuria Segalés, Francisco-Jose Montañes, Cristobal Orellana, Jone Llorente-Onaindia, Sergi Mojal, Isabel Padró, Pere Benito
OBJECTIVE: The study aim was to compare the efficacy and safety of ultrasound-guided intra-articular injections of hyaluronic acid and betamethasone in the management of patients with osteoarthritis of the thumb. METHODS: Eighty-eight evaluable patients diagnosed with osteoarthritis of the thumb (Kellgren-Lawrence grade II-III) received ultrasound-guided intra-articular treatment with hyaluronic acid (48) or betamethasone (40). In total, 3 local injections were scheduled at 7-day intervals...
March 2015: Joint, Bone, Spine: Revue du Rhumatisme
https://www.readbyqxmd.com/read/24940633/-operative-treatment-of-rhizarthrosis-with-trapezectomy-and-suspension-of-the-first-metacarpal-with-a-mini-tightrope%C3%A2
#18
G Szalay, T Scheufens, V Alt, W Boecker, R Schnettler
PURPOSE: The aim of this work was to examine the utility of the Mini TightRope(®) after trapezectomy and suspension of the first metacarpal in cases of clinically manifest rhizarthrosis. PATIENTS AND METHOD: 31 Patients (26 female, 5 male, mean age 57.9 years) with primary rhizarthrosis were treated with a trapezectomy and suspension of the first metacarpal with a Mini TightRope(®) (cost 225 Euro). In the course of a retrospective study, all patients underwent a clinical and radiological re-examination at an average of 13...
June 2014: Handchirurgie, Mikrochirurgie, Plastische Chirurgie
https://www.readbyqxmd.com/read/24700081/-injuries-and-posttraumatic-osteoarthritis-of-the-first-carpometacarpal-joint
#19
REVIEW
A F Klenner, A H Towfigh, K Klenner
BACKGROUND: Precise function of the hand is crucially characterized by opposition movement of the thumb, only possible because of the functional anatomy of the first carpometacarpal joint. High functional demands to this joint consequently lead to the highest rate of osteoarthritis of the hand joints and loss of function. Carpometacarpal (CMC) osteoarthritis of the thumb is rarely seen in posttraumatic cases. It can be caused by fractures involving the joint surfaces of both, the trapezium or the first metacarpal, whereas dislocations of the carpometacarpal joint itself only occasionally lead to osteoarthritis...
April 2014: Der Unfallchirurg
https://www.readbyqxmd.com/read/24563969/pyrocarbon-spacer-as-a-trapezium-replacement-for-arthritis-of-the-trapeziometacarpal-joint-a-follow-up-study-of-60-cases
#20
Gabor Szalay, Christof Meyer, Tanja Scheufens, Reinhard Schnettler, Ralph Christ, Iris Schleicher
Rhizarthrosis is the most common degenerative joint disease of the hand, affecting about 10% of the population. We report our results with trapezium replacement using a pyrocarbon spacer. Between January 2005 and April 2010, 70 patients underwent trapeziectomy with interposition of a pyrocarbon spacer. Sixty patients were examined at an average follow-up of 23.6 (5-64) months after the operation. Six (8.6%) of the 70 implanted pyrocarbon spacers dislocated. Based on the assessment scale devised by Buck-Gramcko, 19 patients achieved a very good outcome (31...
December 2013: Acta Orthopaedica Belgica
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