Clinical Orthopaedics and Related Research ®

A Publication of The Association of Bone and Joint Surgeons ®

Hand 89 articles


Surgical Treatment of Trapeziometacarpal Joint Arthritis: A Historical Perspective

Vincent R. Hentz MD

The trapeziometacarpal (TMC) joint’s unique anatomy and biomechanics render it susceptible to degeneration. For 60 years, treatment of the painful joint has been surgical when nonoperative modalities have failed. Dozens of different operations have been proposed, including total or subtotal resection of the trapezium or resection and implant arthroplasty. Proponents initially report high levels of patient satisfaction, but longer-term reports sometimes fail to support initial good results. To date, no one procedure has been shown to be superior to another.

A Systematic Review of Postoperative Hand Therapy Management of Basal Joint Arthritis

Terri Wolfe ORT/LCHT, Jennifer Y. Chu MD, Tammy Woods MD, John D. Lubahn MD

There are a variety of postoperative immobilization and therapy options for patients with basal joint arthritis. Although prior systematic reviews have compared surgical procedures used to treat basal joint arthritis, none to our knowledge compares therapy protocols for this condition, which are considered an important part of the treatment.

Death, Taxes, and Trapeziometacarpal Arthrosis

Stéphanie J. E. Becker MD, Jan Paul Briet MD, Michiel G. J. S. Hageman MD, David Ring MD, PhD

Hand surgeons treat trapeziometacarpal arthrosis as if everyone with the disease presents for treatment despite evidence that suggests that trapeziometacarpal arthrosis is a normal part of human aging for which—it seems safe to assume—most people never seek medical attention.

Abbreviated Psychologic Questionnaires Are Valid in Patients With Hand Conditions

Arjan G. J. Bot MD, Stéphanie J. E. Becker MD, C. Niek Dijk MD, PhD, David Ring MD, PhD, Ana-Maria Vranceanu PhD

The Pain Catastrophizing Scale (PCS) and Short Health Anxiety Inventory (SHAI) can help hand surgeons identify opportunities for psychologic support, but they are time consuming. If easier-to-use tools were available and valid, they might be widely adopted.

Intra- and Interobserver Reliability of the Eaton Classification for Trapeziometacarpal Arthritis: A Systematic Review

Aaron J. Berger MD, PhD, Arash Momeni MD, Amy L. Ladd MD

Trapeziometacarpal, or thumb carpometacarpal (CMC), arthritis is a common problem with a variety of treatment options. Although widely used, the Eaton radiographic staging system for CMC arthritis is of questionable clinical utility, as disease severity does not predictably correlate with symptoms or treatment recommendations. A possible reason for this is that the classification itself may not be reliable, but the literature on this has not, to our knowledge, been systematically reviewed.

Factors Associated With Survey Response in Hand Surgery Research

Arjan G. J. Bot MD, Jade A. Anderson BS, Valentin Neuhaus MD, David Ring MD, PhD

A low response rate is believed to decrease the validity of survey studies. Factors associated with nonresponse to surveys are poorly characterized in orthopaedic research.

Ultrastructure and Innervation of Thumb Carpometacarpal Ligaments in Surgical Patients With Osteoarthritis

Nathalie Mobargha MD, Cassie Ludwig BS, Amy L. Ladd MD, Elisabet Hagert MD, PhD

The complex configuration of the thumb carpometacarpal (CMC-1) joint relies on musculotendinous and ligamentous support for precise circumduction. Ligament innervation contributes to joint stability and proprioception. Evidence suggests abnormal ligament innervation is associated with osteoarthritis (OA) in large joints; however, little is known about CMC-1 ligament innervation characteristics in patients with OA. We studied the dorsal radial ligament (DRL) and the anterior oblique ligament (AOL), ligaments with a reported divergent presence of mechanoreceptors in nonosteoarthritic joints.

In Vivo Pilot Study Evaluating the Thumb Carpometacarpal Joint During Circumduction

Akira Goto MD, Shuai Leng PhD, Kazuomi Sugamoto MD, William P. Cooney MD, Sanjeev Kakar MD, Kristin Zhao PhD

Analysis of arthrokinematics may have clinical use in the diagnosis of dynamic instability of the thumb and wrist. Recent technological advances allow noninvasive, high-resolution imaging of skeletal (thumb and carpal bones) structures during motion.

In Vivo Kinematics of the Thumb Carpometacarpal Joint During Three Isometric Functional Tasks

Eni Halilaj BA, Michael J. Rainbow PhD, Christopher Got MD, Joel B. Schwartz BS, Douglas C. Moore MS, Arnold-Peter C. Weiss MD, Amy L. Ladd MD, Joseph J. Crisco PhD

The thumb carpometacarpal (CMC) joint is often affected by osteoarthritis—a mechanically mediated disease. Pathomechanics of the CMC joint, however, are not thoroughly understood due to a paucity of in vivo data.

Efficacy of Combined Osteotomy and Ulnar Nerve Transposition for Cubitus Valgus With Ulnar Nerve Palsy in Adults

Ho Jung Kang MD, Il Hyun Koh MD, Yu Chul Jeong MD, Tae Hwan Yoon MD, Yun Rak Choi MD

Tardy ulnar nerve palsy is a common late complication of traumatic cubitus valgus deformity. Whether both problems can be corrected together, safely and effectively, in a single surgical procedure remains unknown.