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Guideline on managing thumb base osteoarthritis: The British Society for Surgery of the Hand Evidence for Surgical Treatment (BEST) findings and recommendations.
J Hand Surg Eur Vol
January 2025
Pulvertaft Hand Centre, University Hospitals of Derby and Burton NHS Foundation Trust, Derby, UK.
This review paper provides a summary of the evidence for non-surgical and surgical management of thumb base osteoarthritis and suggests guidelines through including and a . The guidelines were developed through systematic reviews in accordance with the British Society for Surgery of the Hand Evidence for Surgical Treatment (BEST) Process Manual, which has been accredited by the National Institute for Health and Care Excellence. A stepwise approach is recommended with initial non-invasive treatment consisting of a comprehensive and multimodal package of supported self-management.
View Article and Find Full Text PDFIsolated Osseous Excision in the Adult Carpus: A Narrative Review.
J Hand Microsurg
June 2024
Department of Orthopaedic Surgery, Medical College of Georgia, Augusta, Georgia, United States.
Various pathologies of the adult carpus result in clinical scenarios where excision can be considered and even recommended. In the appropriate patient population, isolated carpal excision can alleviate pain and improve mobility. Excisions of the pisiform, trapezium, and trapezoid have abundant literature evidence to support positive long-term functional outcomes.
View Article and Find Full Text PDFOsteoid Osteoma of the Trapezium: A Rare Case Report and Literature Review.
Cureus
November 2023
Orthopaedic Surgery, Medical School, University of Patras, Patras, GRC.
Osteoid osteoma is the most common benign osteogenic bone neoplasm. Osteoid osteomas are typically located in the metaphysis and diaphysis of long bones, especially the tibia and femur. However, less common sites of the skeleton can be affected as well, including carpal bones.
View Article and Find Full Text PDFManagement of Scaphotrapeziotrapezoid Osteoarthritis: A Critical Analysis Review.
JBJS Rev
October 2023
Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota.
» The scaphotrapeziotrapezoid (STT) joint is a common location of degenerative osteoarthritis (OA) in the wrist.» STT OA may occur in isolation or with concomitant thumb carpometacarpal joint (CMCJ) OA or scapholunate advanced collapse (SLAC) and other wrist OA patterns.» Nonoperative management strategies include activity modification, bracing, anti-inflammatory medications, occupational therapy, and injections.
View Article and Find Full Text PDFSoft Tissue Reconstruction of the Posterior Trunk after Tumor Excision: A Surgical Algorithm.
Cancers (Basel)
February 2023
IRCCS-Istituto Ortopedico Rizzoli, 40136 Bologna, Italy.
Background: The posterior trunk has been considered a challenging area to reconstruct following soft tissue tumor excision because of the shortage of local donor sites. The advent of innovative procedures such as perforator flaps has radically changed this perspective and offered a new approach to the problem.
Methods: Upon a review of the literature and the personal experiences of the senior author, an algorithm is developed according to the most updated procedure, combined with more conventional options that maintain a role in decision-making.
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