Background: Carpometacarpal arthroplasty provides well-documented pain relief with preservation of thenar function in basal joint arthritis treatment. Nevertheless, some patients continue to have pain following surgery. The authors hypothesize that unrecognized midcarpal (capitolunate) arthritis is a contributor to persistent pain after carpometacarpal arthroplasty. The prevalence of midcarpal arthritis in patients with basal joint arthritis is unknown. This article establishes the radiographic prevalence of midcarpal arthritis in patients with carpometacarpal arthritis.
Methods: Patients with basal joint arthritis were identified from a search using International Classification of Diseases, Ninth Revision code 716.94. Hand radiographs were reviewed and graded using the Eaton classification and Sodha classification for carpometacarpal arthritis. Scaphotrapeziotrapezoid arthritis and midcarpal arthritis were graded using the Sodha classification for arthritis as follows: grade 1, no or nearly no arthrosis; grade 2, definite arthrosis but not severe; and grade 3, severe arthrosis.
Results: Eight hundred ninety-six radiographs were reviewed. The prevalence of scaphotrapeziotrapezoid arthritis in this population was 64 percent. The prevalence of midcarpal arthritis in this population was 23.5 percent. The prevalence of midcarpal arthritis in patients with radiologic evidence of carpometacarpal arthritis was 25.4 percent. The prevalence of severe midcarpal arthritis was 7 percent.
Conclusions: The prevalence of midcarpal arthritis in patients with basal joint arthritis is 24 percent. The presence of two locations of arthritis may explain persistent hand and wrist pain in this population despite carpometacarpal arthroplasty. Clinically, these data will allow hand surgeons to better educate patients with basal joint arthritis regarding the possibility of incomplete pain relief following carpometacarpal arthroplasty.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1097/PRS.0000000000002160 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Patterns of osteoarthritis of the wrist: a single-centre observational cohort study.
J Hand Surg Eur Vol
January 2025
Department of Orthopaedic Surgery and Traumatology, Ghent University Hospital, Ghent, Belgium.
This study describes the patterns and prevalence of advanced osteoarthritis of the wrist. Bilateral wrist radiographs of 1327 patients over the age of 40 years were reviewed. Osteoarthritis was present in 228 (17%) patients (368 wrists).
View Article and Find Full Text PDFSurgical options and outcomes for treatment of osteoarthritis of the scaphotrapeziotrapezoidal joint.
J Hand Surg Eur Vol
January 2025
Institut de la main Nantes-Atlantique, Saint-Herblain, France.
Osteoarthritis of the scaphotrapeziotrapezoidal joint is frequent but often pain-free or well tolerated with non-surgical treatment. Surgical options are numerous and none seems to have clear evidence of superiority. In addition to well-established procedures, such as scaphotrapeziotrapezoidal joint arthrodesis, distal scaphoid resection and trapeziectomy, more recent surgical techniques have been reported.
View Article and Find Full Text PDFDistal Scaphoid Excision for Chronic and Nonchronic Scaphoid Fracture Nonunion.
J Hand Surg Glob Online
July 2024
Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA.
Purpose: The indications for distal scaphoid excision are limited to localized wrist arthritis surrounding the scaphoid, as a result of scaphoid nonunion advanced collapse or scapho-trapezio-trapezoid joint arthritis. The procedure historically has led to relief of symptoms and improvement in strength. Our aim was to examine the outcomes of this procedure in patients with scaphoid fracture nonunion.
View Article and Find Full Text PDFLunate-capitate arthrodesis for scaphoid nonunion: a comparative study.
BMC Musculoskelet Disord
August 2024
Orthopedic Surgery Department, Mansoura University, Algomhoria Street, Mansoura, 33516, Dakahlia, Egypt.
Article Synopsis
- The study investigates the effectiveness of two surgical procedures (lunate-capitate fusion and four-corner fusion) for treating advanced wrist injuries known as SNAC II and III, focusing on functional and radiological outcomes and complications.
- It includes a retrospective analysis of 65 patients who underwent surgery between 2015 and 2024, with a follow-up of at least two years, and compares the outcomes of the two fusion techniques.
- Results showed that both groups experienced functional improvements post-surgery and had similar average healing times, indicating that both procedures could be effective in addressing SNAC injuries.
Evaluation of chronic perilunate dislocations: A comparative study of single-stage, two-stage ORIF, and salvage procedures.
Injury
June 2024
Sports Injury Centre, Vardhman Mahavir Medical College & Safdarjung Hospital, New Delhi India.
Article Synopsis
- - This study assessed the effectiveness of different surgical procedures (single-stage, two-stage, and salvage) for treating chronic perilunate dislocations in 15 patients from 2013 to 2019, comparing their outcomes with prior literature.
- - Out of the patients, 13 underwent open reduction and internal fixation (ORIF), while 2 required salvage procedures; the approach transitioned from single-stage to more complex two-stage procedures using external fixators for better results.
- - Post-operative evaluations showed mixed outcomes, with some complications like nonunion and avascular necrosis occurring, and the mean scapholunate angle reflecting varying degrees of wrist extension and flexion.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!