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Thumb osteoarthritis

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https://www.readbyqxmd.com/read/28093922/toll-like-receptors-and-their-soluble-forms-differ-in-the-knee-and-thumb-basal-osteoarthritic-joints
#1
Goncalo Barreto, Jerker Sandelin, Abdelhakim Salem, Dan C Nordström, Eero Waris
Background and purpose - Although the pathogenesis of osteoarthritis (OA) is not well understood, chondrocyte-mediated inflammatory responses (triggered by the activation of innate immune receptors by damage-associated molecules) are thought to be involved. We examined the relationship between Toll-like receptors (TLRs) and OA in cartilage from 2 joints differing in size and mechanical loading: the first carpometacarpal (CMC-I) and the knee. Patients and methods - Samples of human cartilage obtained from OA CMC-I and knee joints were immunostained for TLRs (1-9) and analyzed using histomorphometry and principal component analysis (PCA)...
January 17, 2017: Acta Orthopaedica
https://www.readbyqxmd.com/read/27939833/orthoses-for-osteoarthritis-a-narrative-review
#2
REVIEW
Johann Beaudreuil
Orthoses for osteoarthritis represent splints, taping, sleeves, unloading knee braces and insoles. This review of the effectiveness of these orthoses involved a search for articles published up to 2015 in MEDLINE via PubMed, with a focus on Osteoarthritis Research Society International, American College of Rheumatology and European League Against Rheumatology international recommendations. Evidence for splinting effectiveness in patients with thumb-base osteoarthritis is now provided. Splints for thumb-base osteoarthritis decrease pain and functional disability...
December 6, 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27917634/-hand-osteoarthritis
#3
Ladislav Šenolt
Hand osteoarthritis (OA) is a common chronic disorder causing pain and limitation of mobility of affected joints. The prevalence of hand OA increases with age and more often affects females. Clinical signs obviously do not correlate with radiographic findings - symptomatic hand OA affects approximately 26 % of adult subjects, but radiographic changes can be found in up to two thirds of females and half of males older than 55 years.Disease course differ among individual patients. Hand OA is a heterogeneous disease...
2016: Casopís Lékar̆ů C̆eských
https://www.readbyqxmd.com/read/27900716/corr-insights-%C3%A2-reduction-in-cylindrical-grasp-strength-is-associated-with-early-thumb-carpometacarpal-osteoarthritis
#4
Nash H Naam
No abstract text is available yet for this article.
November 29, 2016: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/27843078/minimum-10-year-clinical-and-radiological-follow-up-of-trapeziectomy-with-interposition-or-suspensionplasty-for-basal-thumb-arthritis
#5
G Pomares, D Delgrande, F Dap, G Dautel
HYPOTHESIS: The aim of this article is to analyze clinical and radiological outcomes of trapeziectomy performed for basal thumb arthritis after a minimum follow-up of 10 years to gain further insight from shorter and medium-term studies reporting satisfactory evolution. METHODS: We reviewed 67 trapeziectomies, operated on by the same senior surgeon after a minimum follow-up of 10 years. The sample included 16 cases of suspensionplasty and 51 interpositions. Clinical outcome evaluated strength, pain, joint amplitude, Kapandji opposition score, Disabilities of the Arm, Shoulder and Hand score, complications and revision surgery...
December 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/27822895/reduction-in-cylindrical-grasp-strength-is-associated-with-early-thumb-carpometacarpal-osteoarthritis
#6
Monica J Coughlan, Alexandra Bourdillon, Joseph J Crisco, Deborah Kenney, Arnold-Peter Weiss, Amy L Ladd
BACKGROUND: Advanced thumb carpometacarpal (CMC) osteoarthritis (OA) can cause substantial impairment in hand function, from grasping heavy objects to fine manipulation of implements and tools. In the clinical setting, we commonly measure the grip strength of gross grasp with a hand dynamometer in patients with CMC OA. Cylindrical grasp, which requires more thumb contribution than gross grasp, is an alternative method of measuring grip strength and one that may provide insight into thumb-related conditions...
November 7, 2016: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/27777818/trapeziometacarpal-ligaments-biomechanical-study-implications-in-arthroscopy
#7
Mireia Esplugas, Alex Lluch-Bergada, Nathalie Mobargha, Manuel Llusa-Perez, Elisabet Hagert, Marc Garcia-Elias
Purpose In the presence of early osteoarthritis, changes to the trapeziometacarpal joint (TMJ) often result in pain and is associated with joint instability and a tendency of dorsoradial subluxation. In these instances, arthroscopy may be indicated to: (1) assess the extent of cartilage disease and the laxity of ligaments and to (2) treat TMJ instability. The purpose of our study was to biomechanically analyze which ligaments are the primary stabilizers of the TMJ. Methods Overall, 11 fresh-frozen human cadaver specimens were dissected and attached to a testing device with the thumb positioned in neutral abduction, neutral flexion, and neutral opposition...
November 2016: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/27771214/orthotic-use-for-cmc-osteoarthritis-variations-among-different-health-professionals-in-brazil
#8
Pedro H T Q de Almeida, Joy C MacDermid, Tatiana Barcelos Pontes, Clarissa Cardoso Dos Santos-Couto-Paz, Licia Maria H da Mota, João Paulo C Matheus
STUDY DESIGN: Cross-sectional descriptive study. INTRODUCTION: Osteoarthritis (OA) is the most prevalent musculoskeletal disease in the adult and older adult populations. The use of orthoses to stabilize the thumb's articular complex is one of the most common conservative management strategies. Despite substantial research about this topic, there is insufficient evidence about the optimal use of orthoses to inform clinical practice, contributing to practice variations within and across health professionals...
October 2016: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/27758127/joint-distraction-for-thumb-carpometacarpal-osteoarthritis-a-feasibility-study-with-1-year-follow-up
#9
Anne J Spaans, L Paul van Minnen, Assa Braakenburg, Aebele B Mink van der Molen
OBJECTIVE: The purpose of this pilot study was to evaluate the feasibility of joint distraction of the first carpometacarpal (CMC1) joint in patients with CMC1 osteoarthritis (OA). METHODS: An external joint distractor was placed over the CMC1 joint by K-wire fixation in the trapezium and the metacarpal. The joint was distracted 3 mm during surgery. The device was then kept in place for 8 weeks. Disabilities of the Arm, Shoulder, and Hand (DASH) score, Michigan Hand Outcome Questionnaire (MHQ), Visual Analogue Scale (VAS), and grip strength were recorded preoperatively and at set postoperative intervals...
October 19, 2016: Journal of Plastic Surgery and Hand Surgery
https://www.readbyqxmd.com/read/27738705/-replacement-of-the-thumb-carpometacarpal-joint-current-importance-of-endoprosthetics-for-operative-treatment-of-rhizarthrosis
#10
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/27698632/long-term-outcomes-of-primary-repair-of-chronic-thumb-ulnar-collateral-ligament-injuries
#11
Thomas Christensen, Shumaila Sarfani, Alexander Y Shin, Sanjeev Kakar
Background: The purpose of this study is to evaluate long-term outcomes of ligamentous repair rather than reconstruction for chronic thumb ulnar collateral ligament (UCL) injuries. Methods: Patients at least 15-years status-post repair of a chronic (greater than 6 weeks) UCL tear were contacted for clinical evaluation, radiographs, and postoperative outcome questionnaires, including the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire, visual analog scale (VAS) pain scale, and study-specific questions...
September 2016: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/27695880/-current-aspects-of-therapy-of-rhizoarthrosis
#12
REVIEW
T Lögters, S Gehrmann, J Windolf
In patients with carpometacarpal osteoarthritis of the thumb, treatment strategies should be based on functional impairment and pain. Although X‑ray imaging is an integral component of the diagnostics, it is of subordinate importance for the therapy algorithm. Conservative therapy is always the first step in the chain of treatment. The efficacy of non-operative treatment, including intermittent immobilization using splinting and the application of technical assist devices in the daily routine has been proven to achieve pain relief...
December 2016: Der Unfallchirurg
https://www.readbyqxmd.com/read/27662802/linking-icf-components-to-outcome-measures-for-orthotic-intervention-for-cmc-oa-a-systematic-review
#13
K Valdes, Nancy Naughton, Lori Algar
STUDY DESIGN: Systematic review. INTRODUCTION/PURPOSE: The purpose of this study was to systematically review outcome measures used for assessment of orthotic intervention in the conservative management of thumb carpometacarpal osteoarthritis to determine if they characterize International Classification of Functioning, Disability, and Health (ICF) components. The determinants of patient satisfaction regarding the orthotic intervention were also extracted from the studies...
October 2016: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/27647603/the-effect-of-thumb-splinting-on-thenar-muscles-atrophy-pain-and-function-in-subjects-with-thumb-carpometacarpal-joint-osteoarthritis
#14
Mokhtar Arazpour, Mohaddeseh Soflaei, Monireh Ahmadi Bani, Seyed Pezhman Madani, Mahsa Sattari, Akbar Biglarian, Zahra Mosallanezhad
BACKGROUND: When the first carpometacarpal joint of the wrist is immobilized using an orthosis to combat the effects of osteoarthritis, atrophy of the thenar muscles may occur. OBJECTIVES: The aim of this study was to evaluate the thenar muscle diameter and cross-sectional area, joint function, and pain, before and after being supplied with an orthosis in patients with grades 1 and 2 carpometacarpal osteoarthritis compared to a control group. STUDY DESIGN: Randomized clinical trial...
September 19, 2016: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/27638548/-fractures-of-the-thumb-ray
#15
I M Mehling, K Schillo, A Arsalan-Werner, J Seegmüller, A C Langheinrich, M Sauerbier
Fractures of the first thumb ray are common and need accurate differential treatment to restore gripping hand functions. Displaced fractures of the distal and proximal phalanx of the thumb are often treated with screws or Kirschner wires. Stable fractures can also be treated non-operatively. Fractures of the base of the first metacarpal should be differentiated into extra-articular Winterstein fractures and intra-articular Bennett or Rolando fractures. Traction forces by the abductor pollicis longus tendon regularly lead to displacement of the shaft of the first metacarpal; therefore, these fractures usually require reduction and fixation...
December 2016: Der Unfallchirurg
https://www.readbyqxmd.com/read/27625535/treatment-of-rolando-fractures-by-open-reduction-and-internal-fixation-using-mini-t-plate-and-screws
#16
Mohammad Umar Mumtaz, Fiaz Ahmad, Altaf Ahmad Kawoosa, Imtiyaz Hussain, Iftikhar Wani
INTRODUCTION: Rolando fractures being intra-articular fractures of the most mobile joint of the thumb, assume significance because any residual incongruity of the articular surface may result in loss of motion as well as secondary osteoarthritis and hence serious disability. This fracture continues to pose difficulties to the treating surgeons and although several treatment options have been described for these fractures, there are no definite guidelines. METHODS: The present study describes the results of open reduction and internal fixation of nine Rolando fractures with large and single fragments, using mini T-plate and screws...
August 2016: Journal of Hand and Microsurgery
https://www.readbyqxmd.com/read/27613587/differences-in-orthotic-design-for-thumb-osteoarthritis-and-its-impact-on-functional-outcomes-a-scoping-review
#17
Pedro Henrique Tq de Almeida, Joy MacDermid, Tatiana Barcelos Pontes, Clarissa Cardoso Dos Santos-Couto-Paz, João Paulo Chieregato Matheus
BACKGROUND: Orthoses are a well-known intervention for the treatment of thumb osteoarthritis; however, there is a multitude of orthotic designs and not enough evidence to support the efficacy of specific models. OBJECTIVE: To examine the influence of different orthoses on pain, hand strength, and hand function of patients with thumb osteoarthritis. STUDY DESIGN: Literature review. METHODS: A scoping literature review of 14 publications reporting orthotic interventions for patients with thumb osteoarthritis was conducted...
September 9, 2016: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/27606961/in-vivo-kinematics-of-the-thumb-during-flexion-and-adduction-motion-evidence-for-a-screw-home-mechanism
#18
Priscilla D'agostino, Benjamin Dourthe, Faes Kerkhof, Filip Stockmans, Evie E Vereecke
The thumb plays a crucial role in basic hand function. However, the kinematics of its entire articular chain have not yet been quantified. Such investigation is essential to improve our understanding of thumb function and to develop better strategies to treat thumb joint pathologies. The primary objective of this study is to quantify the in vivo kinematics of the trapeziometacarpal (TMC) and scaphotrapezial (ST) joints during flexion and adduction of the thumb. In addition, we want to evaluate the potential coupling between the TMC and ST joints during these tasks...
September 8, 2016: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
https://www.readbyqxmd.com/read/27570226/trapeziometacarpal-arthrodesis-or-trapeziectomy-with-ligament-reconstruction-in%C3%A2-primary-trapeziometacarpal-osteoarthritis-a%C3%A2-5-year-follow-up
#19
Kim R Spekreijse, Ruud W Selles, Muhammed A Kedilioglu, Harm P Slijper, Reinier Feitz, Steven E Hovius, Guus M Vermeulen
PURPOSE: To compare the long-term outcomes of trapeziectomy with ligament reconstruction and tendon interposition (LRTI) with trapeziometacarpal arthrodesis for osteoarthritis (OA) of the basal thumb joint. METHODS: Patients were evaluated for pain, daily functioning, strength, and complications after a mean follow-up of 5.3 years. Generalized estimating equations statistics were used to compare repeated measurements over time in both groups. RESULTS: After 5 years, patients who had trapeziectomy with LRTI had significantly better pain reduction and function than the arthrodesis group...
September 2016: Journal of Hand Surgery
https://www.readbyqxmd.com/read/27496985/the-effectiveness-of-orthoses-in-the-conservative-management-of-thumb-cmc-joint-osteoarthritis-an-analysis-of-functional-pinch-strength
#20
Marie-Lyne Grenier, Rochelle Mendonca, Peter Dalley
STUDY DESIGN: The study was a retrospective cohort analysis for a 19-month period from May 2013 to December 2014. INTRODUCTION: Although the use of orthoses has long been a staple of conservative treatment measures for individuals with osteoarthritis of the thumb carpometacarpal (CMC) joint, there remains little evidence exploring its effectiveness in improving functional outcomes for this client population. PURPOSE OF THE STUDY: The purpose of this study was to assess the effectiveness of 3 frequently used orthoses in improving the functional pinch strength of adults with a diagnosis of thumb CMC joint osteoarthritis...
July 2016: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
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