LEARNING OBJECTIVES After studying this article, the participant should be able to: 1. Understand the pathomechanical and biochemical basis for thumb trapeziometacarpal joint degeneration. 2. Diagnose and grade trapeziometacarpal joint disease based on presentation, physical examination (including provocative testing), and radiographic evidence. 3. Understand the principles of ligament reconstr...

Dallas, Texas Learning Objectives: After studying this article, the participant should be able to: 1. Understand the pathomechanical and biochemical basis for thumb trapeziometacarpal joint degeneration. 2. Diagnose and grade trapeziometacarpal joint disease based on presentation, physical examination (including provocative testing), and radiographic evidence. 3. Understand the principles of li...

BACKGROUND Both trapeziectomy with ligament reconstruction and tendon interposition and trapeziometacarpal arthrodesis are commonly performed procedures for the treatment of trapeziometacarpal osteoarthritis. The purpose of this study was to compare the outcomes of both treatments for symptomatic osteoarthritis of the thumb trapeziometacarpal joint in a randomized trial. METHODS Women who wer...

M oday, O cber 9, 2017 Numerous surgical techniques exist for the treatment of first carpometacarpal joint osteoarthritis, however it unclear if outcomes differ between the available techniques. Our feasibility study aimed to determine the practicality of recruiting patients for, and performing, a larger-scale health-related quality of life and functional outcomes study comparing two surgical t...

BACKGROUND The optimal surgical treatment for Kienböck's disease with stages IIIB and IV remains controversial. A cadaver study was carried out to evaluate the use of coiled extensor carpi radialis longus tendon for tendon interposition and a strip obtained from the same tendon for ligament reconstruction in the late stages of Kienböck's disease. METHODS Coiled extensor carpi radialis longus ...

PURPOSE To investigate whether palmaris longus interposition or flexor carpi radialis ligament reconstruction and tendon interposition improve the outcome of trapezial excision for the treatment of basal joint arthritis after a minimum follow-up of 5 years. METHODS We randomized 174 thumbs with trapeziometacarpal osteoarthritis into 3 groups to undergo simple trapeziectomy, trapeziectomy with...

Carpometacarpal (CMC) joint of the thumb is the second most common site afflicted by osteoarthritis. Non surgical measures forms the first line of treatment with aim of preventing progression of disease, however, surgery becomes an option when symptoms are refractory to nonsurgical methods. Different procedures have been described in literature. Ligament reconstruction with tendon interposition...

1. Boyes J. Tendon transfers for radial palsy. Bull Hosp Jt Dis 1960;21:97‐105. 2. Brand P. Tendon transfers in the forearm. In: Flynn JE, editor. Hand Surgery. Baltimore: Williams and Wilkins; 1975. p. 189-200. 3. Burton RI, Pellegrini VD Jr. Surgical management of basal joint arthritis of the thumb. Part II. Ligament reconstruction with tendon interposition arthroplasty. J Hand Surg Am 1986;1...

Several surgical techniques are available to treat thumb basal joint arthritis. In this study, we compare the long-term results of a thumb basal joint prosthesis (de la Caffinière or Roseland type prosthesis) with those of trapeziectomy with ligament reconstruction and tendon interposition (LRTI). We could not find any difference between both techniques with respect to impairment, pain reductio...