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We present a new surgical technique for reconstructing the anterior oblique ligament, the dorsoradial ligament, and the intermetacarpal ligament simultaneously, using both the transverse carpal ligament and the palmaris longus tendon. These results indicated that our surgical intervention may be one of the options of treating the symptomatic CMC joint pains in early-stage arthritis.
Source link: https://europepmc.org/article/MED/35696616
Background The use of occupational participation in education on joint protection strategies has not been investigated for people with thumb carpometacarpal osteoarthritis, to our knowledge, has not been investigated. Methods: During joint protection education in the therapy clinic with a skilled hand therapist in addition to routine care, three participants with thumb CMC joint osteoarthritis was washing, rinsing, and drying a dish, moving a pot and pan, carrying a laundry basket, and pouring from a pitcher. On a 10-point Numeric Pain Rating Scale and function improved by an average of 10. 04 on the Thumb Disability Examination, pain with activity increased by an average of 1. 7 percent. Conclusions Although no causal links can be established in this research, hand therapists should consider including occupation-based therapy as a part of patient education on joint defense for individuals with thumb CMC joint osteoarthritis.
Source link: https://europepmc.org/article/MED/36045015
Thumb CMC joint OA is a common disorder. The aim of the study was to establish the efficiency of a proceptionive education scheme as a complement therapy for patients with thumb CMC joint OA. Methods Both experimental and experimental groups tested standard conservative thumb CMC joint OA therapies for a period of 12 weeks. Both the experimental and control groups made both clinically and statistically significant changes in the mean VAS and COPM scores as time progressed. Only the experimental group saw a statistically and clinically significant improvement in JPS error score over time. Discussion Group The experimental group made a statistically significant improvement in JPS over time in concordance with prior studies. Pain scores grew from previous studies, and the between-group comparison was not statistically significant. Conclusion In comparison to a traditional rehabilitation program, pro-esophotic training improved error scores on the joint position sense test.
Source link: https://europepmc.org/article/MED/36008246
The aim of this research was to investigate the connection between hypermobility and osteoarthritis at the first carpometacarpal joint, using magnetic resonance imaging to detect early signs in women at high risk of developing OA but not yet established diagnoses. Methods 34 women with self-reported maternal hand OA were recruited for this observational study, but not with personal diagnoses of OA. On MRI, however, significant proportions of women with higher hypermobility scores were found to have abnormalities of trapezium cartilage, metacarpal cartilage, and trapezium bone; p 0. 05 for all. Conclusions First CMC joint structural abnormalities were more common in women with higher hypermobility scores. Magnetic resonance imaging can be a common imaging procedure for detecting early cartilage changes in people at high risk of CMC joint OA.
Source link: https://europepmc.org/article/MED/35981296
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