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Carpometacarpal Joint Osteoarthritis - Europe PMC

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Last Updated: 19 November 2022

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Liparthroplasty for Thumb Carpometacarpal Joint Osteoarthritis: A Case Series with Median 5 Years of Follow-Up.

After struggling conservative treatment options to postpone arthroplasty surgery of the thumb carpometacarpal joint as long as possible, liparthroplasty has recently been discussed as a promising bridging therapy. The new review reviews reveals that this therapy has been used in seven stage II and twenty-four stage III osteoarthritis patients. We found a significant reduction in all postinterventional disabilities of the arm, shoulder, and hand scores, as well as pain levels prior to liparthroplasty. According to a binary regression report, smokers were 11 times more likely for therapy failure, leading to surgical conversion. Seventeen out of nineteen patients in our final review said they were delighted with liparthroplasty. We recommend liparthroplasty as a safe bridging technique for retaining joint integrity as long as possible, particularly in non-smoking patients due to promising mid-term results of 61% of the 31 initially treated patients.

Source link: https://europepmc.org/article/MED/36362639


Familial Clustering and Genetic Analysis of Severe Thumb Carpometacarpal Joint Osteoarthritis in a Large Statewide Cohort.

Methods We searched the Utah Population Database to find a cohort of CMC joint OA patients who needed surgery. To determine the hazard of CMC joint OA among related individuals, Cox regression models were used to estimate familial risk of CMC joint OA in related individuals. We found candidate genes that consistently segregate with severe CMC joint OA in four separate families, including a rare variant in Chondroitin Sulfate Synthase 3. Clinical relevance: The identification of individuals who do not do well with nonoperative therapies may influence the diagnosis of CMC joint OA in at-risk populations and help identify individuals who may not do well with nonoperative therapy. Further investigation of the genes associated with severe CMC joint OA may lead to assays for detection of early stages of disease and therapeutic potential.

Source link: https://europepmc.org/article/MED/36184273


Efficacy of Abductor Pollicis Longus Suspension Arthroplasty Combined With Mini TightRope for Osteoarthritis of Thumb Carpometacarpal Joint.

Background Objectives We wanted to determine the safety of abductor pollicis longus suspension arthroplasty with trapeziectomy, a first and second metacarpal fixation using suture button technology. Materials Thirteen patients who received APL suspension arthroplasty combined with a suture button device for osteoarthritis of the carpometacarpal joint of the thumb at our hospital between 2015 and 2019 were included in the study, and more than 24 months were followed up. Although the preoperative and final follow-up results did not significantly change between preoperative and final follow-up measurements, the ROM of radial and palmar abduction, as well as the VAS score at the new follow-up were significantly higher than the preoperative ones, though grip and pinch strength did not change significantly between preoperative and final follow-up results, although grip and pinch strength did not change significantly between preoperative and final follow-up reports were no different than preoperative findings, although the final follow-up were significantly higher than preoperative and final follow-up measurements were not significantly improved than preoperative and final follow-up results, apo operative and palmar abduction and palmar abduction aet score in the last follow-up reports were significantly higher than preoperative results were not significantly higher than preoperative results were not significantly higher than preoperative and final follow-up results operative results were not significantly higher than the previous follow-up reports were not significantly different from preoperative tests. This surgical technique resulted in significant improvement in the ROM of radial and palmar abduction, as well as the VAS score for pain, and the use of a suture button system in the first and second metacarpals reduced the subsidence of the first metacarpal.

Source link: https://europepmc.org/article/MED/36113054


Arthroscopy-assisted partial trapeziectomy combined with ligament reconstruction for thumb carpometacarpal joint osteoarthritis: A different technique.

Background No consensus has been reached on the correct surgical option for thumb carpometacarpal osteoarthritis. The aim of this research was to introduce a new technique to restore the integrity and stability of the first carpal metacarpal joint with minimal trauma, rapid pain relief, minimized complications, and simplified complications, but the long-term follow-up's clinical findings were evaluated and statistically analyzed. Methods This was a retrospective review of ten patients with a mean age of 51. 8 years. In two patients, there was marginalization and dislocation of the first metacarpal in two patients, but the method did not influence the function by measurement. The result of an ankle joint resection combined with ligament reconstruction may be a safe and promising surgical procedure in patients with thumb CMC OA.

Source link: https://europepmc.org/article/MED/36338619


Incorporation of occupational based intervention into joint protection education for individuals with thumb carpometacarpal osteoarthritis: A case series.

Background To our knowledge, the use of occupational results in education on joint protection strategies has not been investigated in patients with thumb carpometacarpal osteoarthritis. 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 performed washing, rinsing, and drying a dish, moving a pot and pan, organizing a laundry basket, and pouring from a pitcher. On a 10-point Numeric Pain Rating Scale and function soared by an average of 10. 04 on the Thumb Disability Examination, pain with activity rose by an average of 1. 7 percent. Conclusions Although no causal relationships can be established in this report, hand therapists should explore including occupation-based therapy as a component of patient education on joint safety for people with thumb CMC joint osteoarthritis.

Source link: https://europepmc.org/article/MED/36045015


Clinical effects of proprioceptive thumb exercise for individuals with carpometacarpal joint osteoarthritis: A randomized controlled trial.

Thumb CMC joint OA is a common disorder. There is no evidence to show that preventive neuromuscular therapy is a safe option for this population. The aim of the study was to determine the success of a proceptive education service as a complement therapy for patients with thumb CMC joint OA. Both the control and experimental groups were given standard conservative thumb CMC joint OA therapy for a period of 12 weeks. Both the experimental and control groups made both clinically and statistically significant improvements in the mean VAS and COPM scores over time. Only the experimental group saw a statistically and clinically significant increase in JPS error scores as a result of time. Pain scores changed from previous studies, and the between-group comparison was not statistically relevant. Prosecutive instruction in comparison to a conventional rehabilitation program resulted in reduced error scores on the joint position sense test.

Source link: https://europepmc.org/article/MED/36008246

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions