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Thumb osteoarthritis

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https://www.readbyqxmd.com/read/28616779/-arthrodesis-of-the-distal-interphalangeal-joint-using-the-headless-compression-screw
#1
REVIEW
C K Spies, B Hohendorff, S Löw, L P Müller, J Oppermann, P Hahn, F Unglaub
OBJECTIVE: Arthrodesis of the distal interphalangeal joint of the fingers and interphalangeal joint of the thumb in order to gain reliable stability and function. INDICATIONS: Primary and secondary osteoarthritis, rheumatoid arthritis, defect lesions, septic joint destruction, posttraumatic joint deviation, fatal joint instability, fatal tendon lesions. CONTRAINDICATIONS: Persistent infections (empyema, osteomyelitis, phlegmon), deficient soft tissue mantle, bone/screw mismatch...
June 14, 2017: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/28552412/connecting-the-wrist-to-the-hand-a-simulation-study-exploring-changes-in-thumb-tip-endpoint-force-following-wrist-surgery
#2
Jennifer A Nichols, Michael S Bednar, Sarah J Wohlman, Wendy M Murray
The wrist is essential for hand function. Yet, due to the complexity of the wrist and hand, studies often examine their biomechanical features in isolation. This approach is insufficient for understanding links between orthopaedic surgery at the wrist and concomitant functional impairments at the hand. We hypothesize that clinical reports of reduced force production by the hand following wrist surgeries can be explained by the surgically-induced, biomechanical changes to the system, even when those changes are isolated to the wrist...
June 14, 2017: Journal of Biomechanics
https://www.readbyqxmd.com/read/28525958/necessity-of-immobilizing-the-metacarpophalangeal-joint-in-carpometacarpal-osteoarthritis-short-term-effect
#3
Raquel Cantero-Téllez, Kristin Valdes, Deborah A Schwartz, Ivan Medina-Porqueres, Jean Christophe Arias, Jorge H Villafañe
BACKGROUND: Conservative treatment for carpometacarpal (CMC) joint osteoarthritis (OA) may include orthotic fabrication to decrease pain. Different types of orthoses have been used as conservative interventions to improve symptoms, but there are no guidelines specifying if inclusion of the thumb metacarpophalangeal (MCP) in an orthosis is required in the treatment of thumb CMC joint OA. The main objective of this study is to determine the effectiveness of 2 different thumb CMC joint orthotic designs on pain reduction and improved hand function: one design immobilizes both the MCP joint and the CMC joint and the other design immobilizes only the CMC joint...
May 1, 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/28502698/effectiveness-of-a-fine-motor-skills-rehabilitation-program-on-upper-limb-disability-manual-dexterity-pinch-strength-range-of-fingers-motion-performance-in-activities-of-daily-living-functional-independency-and-general-self-efficacy-in-hand-osteoarthritis-a
#4
Jose Manuel Pérez-Mármol, Ma Carmen García-Ríos, María Azucena Ortega-Valdivieso, Enrique Elías Cano-Deltell, María Isabel Peralta-Ramírez, Kelly Ickmans, María Encarnación Aguilar-Ferrándiz
STUDY DESIGN: A randomized clinical trial. INTRODUCTION: Rehabilitation treatments for improving fine motor skills (FMS) in hand osteoarthritis (HOA) have not been well explored yet. PURPOSE OF THE STUDY: To assess the effectiveness of a rehabilitation program on upper limb disability, independence of activities of daily living (ADLs), fine motor abilities, functional independency, and general self-efficacy in older adults with HOA. METHODS: About 45 adults (74-86 years) with HOA were assigned to an experimental group for completing an FMS intervention or a control group receiving conventional occupational therapy...
May 11, 2017: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/28501962/arthrodesis-of-the-thumb-carpometacarpal-joint-using-a-quadrangular-plate-surgical-technique-and-long-term-results-of-70-patients
#5
Verónica Jiménez-Díaz, David Cecilia-López, Miguel Ángel Porras-Moreno, Gema Muñoz-Sánchez, Lorena García-Lamas, Fernando Jara-Sánchez
PURPOSE: To assess the long-term results of trapeziometacarpal arthrodesis using a quadrangular plate, regarding clinical, radiological and functional outcomes, as well as development of complications. MATERIAL AND METHOD: From 2005 to 2015, 70 patients were treated at our institution for primary osteoarthrosis of thumb carpometacarpal joint performing a trapeziometacarpal arthrodesis. A total of 85 arthrodesis were carried out using a titanium quadrangular plate (Proflyle plate, Stryker(®), Kalamazoo MI, USA), without grafting in any case...
May 13, 2017: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/28481387/trapeziectomy-with-ligament-reconstruction-and-tendon-interposition-versus-a-trapeziometacarpal-prosthesis-for-the-treatment-of-thumb-basal-joint-osteoarthritis
#6
María José Robles-Molina, Francisco López-Caba, Rafael C Gómez-Sánchez, Encarnación Cárdenas-Grande, Miguel Pajares-López, Pedro Hernández-Cortés
Numerous surgical procedures have been described to treat trapeziometacarpal osteoarthritis, but no approach is currently considered superior. Good long-term outcomes have been reported with multiple procedures. No studies have been published comparing outcomes of the Arpe joint replacement (Biomet, Valence, France) with those of ligament reconstruction and tendon interposition (LRTI) using the Burton-Pellegrini technique. The study objective was to compare clinical outcomes between these techniques. Sixty-five patients with Eaton stage III osteoarthritis of the thumb were included in this retrospective follow-up study...
May 8, 2017: Orthopedics
https://www.readbyqxmd.com/read/28465206/thumb-carpometacarpal-joint-denervation-for-primary-osteoarthritis-a-prospective-study-of-31-thumbs
#7
T Giesen, H J Klein, A Franchi, J A Medina, D Elliot
We present the results of a prospective study of 31 thumbs in 30 patients affected by primary osteoarthritis at the thumb carpometacarpal (CMC1) joint who were treated with denervation of the involved joint. For every operated hand, the Kapandji score, key-pinch strength, grip strength and pain on a visual analogue scale were evaluated preoperatively and postoperatively at 2 weeks, 6 weeks, 3 months, 6 months and 1 year. The patients' satisfaction was determined. The Kapandji score and key-pinch strength improved significantly in all patients...
June 2017: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/28455486/errata
#8
(no author information available yet)
van der Vegt AE, Grond R, Grüschke JS, Boomsma MF, Emmelot CH, Dijkstra PU, van der Sluis CK. The effect of two different orthoses on pain, hand function, patient satisfaction and preference in patients with thumb carpometacarpal osteoarthritis. Bone Joint J;2017;99-B:237-244.
May 2017: Bone & Joint Journal
https://www.readbyqxmd.com/read/28454772/effects-of-client-centered-multimodal-treatment-on-impairment-function-and-satisfaction-of-people-with-thumb-carpometacarpal-osteoarthritis
#9
Barbara Shankland, Dorcas Beaton, Sara Ahmed, Bernadette Nedelec
STUDY DESIGN: Prepost design. INTRODUCTION: Previous research regarding the non-surgical treatment of thumb carpometacarpal joint osteoarthritis has been based on protocol driven research designs that primarily examined impairment level changes. Exploration is therefore needed to determine the benefits of individually prescribed orthoses, joint protection and assistive device education programs that are based on the activities the person needs to regularly perform...
April 25, 2017: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/28425053/what-demographic-and-clinical-characteristics-correlate-with-expectations-with-trapeziometacarpal-arthritis
#10
Lana Kang, Joseph Nguyen, Sohaib Z Hashmi, Steve K Lee, Andrew J Weiland, Carol A Mancuso
BACKGROUND: Pretreatment variables have been shown to be associated with the fulfillment of patient expectations, yet in treating thumb trapeziometacarpal osteoarthritis (OA) it remains unclear how patient expectations correlate with the effectiveness of treatment. An increased understanding of the variables that affect patient expectations enables tailored patient education and patient-provider communication. QUESTIONS/PURPOSES: (1) Is there a correlation between patient demographics and clinical characteristics, and the expectations the patients have when seeking treatment for trapeziometacarpal OA? (2) What factors are independently associated with the total expectations score and frequency of expecting "back to normal" among patients treated for trapeziometacarpal OA? METHODS: Between March 2011 and October 2013, 89 patients of all 96 eligible patients seeking treatment for trapeziometacarpal OA were approached and agreed to participate in this study...
April 19, 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28412189/mean-5-year-follow-up-for-suture-button-suspensionplasty-in-the-treatment-of-thumb-carpometacarpal-joint-osteoarthritis
#11
Jeffrey Yao, Andre Eu-Jin Cheah
PURPOSE: Suture button suspensionplasty (SBS) has been used to treat thumb carpometacarpal joint osteoarthritis (CMC joint OA). Although promising short-term outcomes have been reported, no outcomes beyond 4 years have been published. The aim of this article is to report intermediate outcomes of SBS. METHODS: We reviewed the charts of 14 patients who underwent 16 SBS procedures for symptomatic thumb CMC joint OA. We recorded demographic data, preoperative Eaton stage, length of follow-up, Quick-Disabilities of the Arm, Shoulder, and Hand questionnaire scores, as well as pinch strength, grip strength, range of motion, and metacarpal subsidence...
April 12, 2017: Journal of Hand Surgery
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
#12
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/28369017/autologous-fat-transfer-for-thumb-carpometacarpal-joint-osteoarthritis-a-prospective-study
#13
Christian Herold, Hans-Oliver Rennekampff, Robert Groddeck, Sixtus Allert
BACKGROUND: Most surgeries for CMC joint osteoarthritis of the thumb irreversibly alter or destroy the anatomy. There is a high demand for minimal invasive alternatives. We report the results of autologous fat transfer for treatment of thumb CMC joint osteoarthritis. METHODS: In a prospective study 50 patients with thumb CMC joint osteoarthrits were observed for one year after autologous fat transfer. Manual liposuction and centrifugation was performed. Pain rating as per visual analog pain scale (VAS), objective force of pinch grip and fist closure and DASH scores before and after the treatment were analysed...
March 31, 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28368089/withdrawn-surgery-for-thumb-trapeziometacarpal-joint-osteoarthritis
#14
REVIEW
Anne Wajon, Toby Vinycomb, Emma Carr, Ian Edmunds, Louise Ada
BACKGROUND: Surgery is used to treat persistent pain and dysfunction at the base of the thumb when conservative management, such as splinting, or medical management, such as oral analgesics, is no longer adequate in reducing disability and pain. This is an update of a Cochrane Review first published in 2005. OBJECTIVES: To assess the effects of different surgical techniques for trapeziometacarpal (thumb) osteoarthritis. SEARCH METHODS: We searched the following sources up to 08 August 2013: CENTRAL (The Cochrane Library 2013, Issue 8), MEDLINE (1950 to August 2013), EMBASE (1974 to August 2013), CINAHL (1982 to August 2013), Clinicaltrials...
April 3, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28250145/development-and-reliability-of-the-omeract-thumb-base-osteoarthritis-magnetic-resonance-imaging-scoring-system
#15
Féline P B Kroon, Philip G Conaghan, Violaine Foltz, Frédérique Gandjbakhch, Charles Peterfy, Iris Eshed, Harry K Genant, Mikkel Østergaard, Margreet Kloppenburg, Ida K Haugen
OBJECTIVE: To develop the Outcome Measures in Rheumatology (OMERACT) thumb base osteoarthritis (OA) magnetic resonance imaging (MRI) scoring system (TOMS) for the assessment of inflammatory and structural abnormalities in this hand OA subset, and test its cross-sectional reliability. METHODS: Included features and their scaling were agreed upon by members of the OMERACT MRI Task Force using the Hand OA MRI scoring system as a template. A reliability exercise was performed in which 3 readers participated, using a preliminary atlas with examples to facilitate reading...
March 1, 2017: Journal of Rheumatology
https://www.readbyqxmd.com/read/28237072/effect-of-immobilization-of-metacarpophalangeal-joint-in-thumb-carpometacarpal-osteoarthritis-on-pain-and-function-a-quasi-experimental-trial
#16
Raquel Cantero-Téllez, Jorge Hugo Villafañe, Kristin Valdes, Pedro Berjano
STUDY DESIGN: A quasi-experimental trial. INTRODUCTION: Orthoses are effective to decrease pain and improve function in patients with carpometacarpal osteoarthritis (CMC OA). However, current research does not support one design of an orthosis as more effective and/or more favorable than another. PURPOSE OF THE STUDY: The aim of this study was to compare the effectiveness of 2 different static orthosis on pain and functional abilities on CMC OA...
February 22, 2017: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/28205478/scaphotrapeziotrapezoidal-joint-osteoarthritis-a-systematic-review-of-surgical-treatment
#17
Victoria M Deans, Zafar Naqui, Lindsay T S W Muir
BACKGROUND: The management of scaphotrapeziotrapezoidal (STT) joint osteoarthritis (OA) remains controversial. This systematic review aims to review the evidence for surgical interventions specific to STT OA. METHODS: Medline and Embase libraries were searched using a pre-defined search strategy in October 2014. All study designs and languages were included and evaluated by two reviewers (VMD and LM) against the inclusion/exclusion criteria. The study eligibility criteria included papers discussing surgical treatment of STT OA, and the review was conducted using the PRISMA guidelines...
March 2017: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/28167875/locking-plate-arthrodesis-compares-favorably-with-lrti-for-thumb-trapeziometacarpal-arthrosis-early-outcomes-from-a-longitudinal-cohort-study
#18
Nikolas H Kazmers, K J Hippensteel, Ryan P Calfee, Lindley B Wall, Martin I Boyer, Charles A Goldfarb, Richard H Gelberman, Daniel A Osei
BACKGROUND: Trapeziometacarpal arthrodesis (TMA) has been complicated by nonunion and hardware failure. QUESTIONS/PURPOSES: We hypothesized that modification of the TMA technique with a locking cage plate construct would afford reliable bony union while producing greater hand function than trapeziectomy with ligament reconstruction and tendon interposition (LRTI) at early follow-up. METHODS: We enrolled 36 consecutive patients with trapeziometacapal osteoarthritis (14 TMA patients (15 thumbs), 22 LRTI patients (22 thumbs))...
February 2017: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/28149212/thumb-metacarpal-subsidence-after-partial-trapeziectomy-with-capsular-interposition-arthroplasty-a-biomechanical-study
#19
Christina Salas, Deana M Mercer, Gavin O'Mahony, James Love, Dukens LaBaze, Moheb S Moneim
Background: In a cadaveric model, we evaluated thumb metacarpal subsidence, indicated by a decreased metacarpal-to-scaphoid distance, after 2 surgical procedures used to treat thumb carpometacarpal (CMC) osteoarthritis (OA): partial trapeziectomy with capsular interposition (PTCI), which involves removal of 2 mm of both the distal trapezium and base of the metacarpal; and total trapeziectomy with capsular interposition (TTCI). Methods: Nine matched pairs of cadaveric hands were randomly assigned to undergo either PTCI or TTCI...
December 2016: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/28148667/the-effect-of-two-different-orthoses-on-pain-hand-function-patient-satisfaction-and-preference-in-patients-with-thumb-carpometacarpal-osteoarthritis-a-multicentre-crossover-randomised-controlled-trial
#20
RANDOMIZED CONTROLLED TRIAL
A E van der Vegt, R Grond, J S Grüschke, M F Boomsma, C H Emmelot, P U Dijkstra, C K van der Sluis
AIMS: The aim of this study was to compare the Push Ortho Thumb Brace CMC and a custom-made orthosis in the treatment of patients with primary osteoarthritis of the carpometacarpal joint of the thumb. Our outcome measures were pain scores, tests of hand function, patient satisfaction and patient preference. PATIENTS AND METHODS: A multicentre crossover randomised controlled trial was conducted which included 63 patients (44 women) with primary osteoarthritis of the carpometacarpal joint of the thumb...
February 2017: Bone & Joint Journal
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