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Journal articles on the topic 'Trapeziometacarpal'

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Published: 4 June 2021
Last updated: 20 February 2023

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1

Teissier, J., P. Teissier, and A. Toffoli. "Trapeziometacarpal prostheses." Hand Surgery and Rehabilitation 40 (September 2021): S106—S116. http://dx.doi.org/10.1016/j.hansur.2020.09.013.

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2

Eaton, Richard G., and Steven Z. Glickel. "Trapeziometacarpal Osteoarthritis." Hand Clinics 3, no. 4 (November 1987): 455–69. http://dx.doi.org/10.1016/s0749-0712(21)00761-7.

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3

Wilkens, Suzanne C., Michael M. Meghpara, David Ring, J. Henk Coert, Jesse B. Jupiter, and Neal C. Chen. "Trapeziometacarpal Arthrosis." JBJS Reviews 7, no. 1 (January 2019): e8-e8. http://dx.doi.org/10.2106/jbjs.rvw.18.00020.

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4

HERNDON, JAMES H. "Trapeziometacarpal Arthroplasty." Clinical Orthopaedics and Related Research &NA;, no. 220 (July 1987): 99???105. http://dx.doi.org/10.1097/00003086-198707000-00012.

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5

Morizaki, Yutaka, and Toshiki Miura. "UNUSUAL PATTERN OF DISLOCATION OF THE TRAPEZIOMETACARPAL JOINT WITH AVULSION FRACTURE OF THE TRAPEZIUM: CASE REPORT." Hand Surgery 14, no. 02n03 (January 2009): 149–52. http://dx.doi.org/10.1142/s0218810409004414.

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Dislocation of the trapeziometacarpal joint is a rare injury. We report an unusual pattern of dorsal dislocation of the trapeziometacarpal joint with an avulsion fracture of the dorsoradial tubercle of the trapezium. Simultaneous ligament rupture with an avulsion fracture of the thumb metacarpophalangeal joint was associated. The trapeziometacarpal joint was reduced and disrupted ligaments with avulsed fragments of both joints were surgically repaired.
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6

Suzuki, Katsuji, Kunio Shibata, Kanae Shigemori, Hirofusa Ichinose, and Tohru Tanaka. "Arthroplasty Using Ball-and-Socket Type Ceramic Prosthesis for the Osteoarthritis of the Trapeziometacarpal Joint of the Thumb." Key Engineering Materials 309-311 (May 2006): 1363–66. http://dx.doi.org/10.4028/www.scientific.net/kem.309-311.1363.

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Six patients underwent arthroplasty of the trapeziometacarpal joint of the thumb with our ball-and socket type ceramic prosthesis for the osteoarthritis of Eaton stage 3 or 4. Our prosthesis was made of alumina ceramic and high-density polyethylene. Pain and dislocation or subluxation of the trapeziometacarpal joint were found in all of the patients preoperatively and these symptoms were relieved completely after surgery. The % total active motion of the trapeziometacarpal joint and metacarpophalangeal + interphalangeal joints, the % grip strength and % pinch strength improved postoperatively. The trapeziometacarpal joint function according to Eaton’s criteria after surgery was excellent of 5 patients and good of 1 patient.
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7

NAJIMA, H., C. OBERLIN, J. Y. ALNOT, and B. CADOT. "Anatomical and Biomechanical Studies of the Pathogenesis of Trapeziometacarpal Degenerative Arthritis." Journal of Hand Surgery 22, no. 2 (April 1997): 183–88. http://dx.doi.org/10.1016/s0266-7681(97)80058-7.

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An anatomical and biomechanical study of the stabilizing ligaments of the thumb trapeziometacarpal joint was conducted on 32 hand specimens. Five main ligamentous structures could be identified. The mechanical properties (in particular, strength) of the five ligaments using a strain-rate failure test were determined and evaluated quantitatively. The maximum tensile strength of each ligament was correlated with the condition of the trapeziometacarpal articular cartilage. In studying the anterior oblique ligament, maximum strength decreased from Grade 0 to Grade 1 by 51%. With the first intermetacarpal ligament, the drop from Grade 1 to Grade 2 was 53%. With the posterior oblique ligament, the decrease was closely related to the grade of the deterioration of the trapeziometacarpal articular surface. These three ligaments also significantly decreased in strength with age. Our results may suggest that the anterior oblique ligament, intermetacarpal ligament and posterior oblique ligament play a large role in stabilizing the trapeziometacarpal joint and that the decrease in their strength is related to the pathogenesis of trapeziometacarpal osteoarthritis.
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8

Zancolli, Eduardo A. "THE TRAPEZIOMETACARPAL JOINT." Hand Clinics 17, no. 1 (February 2001): 13–43. http://dx.doi.org/10.1016/s0749-0712(21)00598-9.

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9

Littler, J. William. "TRAPEZIOMETACARPAL JOINT INJURIES." Hand Clinics 8, no. 4 (November 1992): 701–11. http://dx.doi.org/10.1016/s0749-0712(21)00737-x.

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10

Patel, Tejas J., Pedro K. Beredjiklian, and Jonas L. Matzon. "Trapeziometacarpal joint arthritis." Current Reviews in Musculoskeletal Medicine 6, no. 1 (December 16, 2012): 1–8. http://dx.doi.org/10.1007/s12178-012-9147-6.

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11

Adams, Brian D., Robert S. Unsell, and Peggy McLaughlin. "Niebauer trapeziometacarpal arthroplasty." Journal of Hand Surgery 15, no. 3 (May 1990): 487–92. http://dx.doi.org/10.1016/0363-5023(90)90068-3.

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12

Vermeulen, G. M., S. M. Brink, H. Slijper, R. Feitz, T. M. Moojen, SE R. Hovius, and R. W. Selles. "Trapeziometacarpal Arthrodesis or Trapeziectomy with Ligament Reconstruction in Primary Trapeziometacarpal Osteoarthritis." Journal of Bone and Joint Surgery-American Volume 96, no. 9 (May 2014): 726–33. http://dx.doi.org/10.2106/jbjs.l.01344.

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13

Hunter, D. J., Y. Zhang, J. Sokolove, J. Niu, P. Aliabadi, and D. T. Felson. "Trapeziometacarpal subluxation predisposes to incident trapeziometacarpal osteoarthritis (OA): the Framingham study." Osteoarthritis and Cartilage 13, no. 11 (November 2005): 953–57. http://dx.doi.org/10.1016/j.joca.2005.06.007.

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14

SCHULZ, C. U., H. ANETZBERGER, M. PFAHLER, M. MAIER, and H. J. REFIOR. "The Relation Between Primary Osteoarthritis of the Trapeziometacarpal Joint and Supernumerary Slips of the Abductor Pollicis Longus Tendon." Journal of Hand Surgery 27, no. 3 (June 2002): 238–41. http://dx.doi.org/10.1054/jhsb.2002.0765.

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We have studied whether accessory abductor pollicis longus slips inserting into the thenar eminence or trapezium influence the incidence and severity of trapeziometacarpal joint osteoarthritis. The right first extensor compartment of 73 cadavers was dissected and trapeziometacarpal degeneration was graded macroscopically. The main abductor pollicis longus tendon which inserted at the metacarpal base was accompanied by supernumerary APL slips in 96% of cases. Thenar or trapezial slips occurred frequently but coexisted in only one case. The incidence of trapeziometacarpal arthritis was not influenced by the number of accessory slips or whether they inserted onto the thenar eminence or the trapezium.
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15

Chiche, Leo, Herve Lamarre, Stephane Barbary, and Jacques Teissier. "Scaphometacarpal arthroplasty: a report of ten cases of trapeziometacarpal prosthesis and trapeziectomy revision." Journal of Hand Surgery (European Volume) 45, no. 5 (January 28, 2020): 483–87. http://dx.doi.org/10.1177/1753193419900470.

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Loosening of the trapezial component is a main cause of failure of trapeziometacarpal prostheses. This report presents the preliminary results of scaphometacarpal prostheses used for revision of trapeziometacarpal prostheses and failed trapeziectomies. A retrospective multicentre study was conducted on ten patients. Four had revision surgery after failure of trapeziometacarpal prostheses, five after trapeziectomy and one after a trapezial silicone implant. Pain, mobility, strength, QuickDASH, satisfaction score and radiographs were assessed. Nine patients were assessed (one was lost to follow-up), with a mean follow-up of 34 months. The mean pain score was 1.2/10, Quick-DASH was 39 and opposition according to the Kapandji score was 8.6. Strength was 3 kg for key pinch and 13.6 kg for power grip. One failure was observed, with early loosening of the scaphoid cup. Scaphometacarpal arthroplasty is a reliable medium-term solution for revision of the loosening of a trapeziometacarpal prosthesis with trapezial damage and for failed trapeziectomy. Level of evidence: IV
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16

LOREA, D. P., J. V. BERTHE, A. DE MEY, B. C. COESSENS, M. ROOZE, and G. FOUCHER. "The Nerve Supply of the Trapeziometacarpal Joint." Journal of Hand Surgery 27, no. 3 (June 2002): 232–37. http://dx.doi.org/10.1054/jhsb.2001.0716.

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Ten forearm and hand specimens from fresh cadavers were dissected and examined under magnification for articular branches to the trapeziometacarpal joint arising from the thenar and palmar cutaneous branches of the median nerve, the superficial branch of the radial nerve and the lateral cutaneous nerve of forearm. In all but one specimen the thenar branch of the median nerve sent an articular branch to the trapeziometacarpal joint. Multiple branches from the palmar cutaneous branch of the median nerve, the superficial branch of the radial nerve and the lateral cutaneous nerve of forearm were also found. All these branches need to be divided during a “complete” denervation of the trapeziometacarpal joint.
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17

Saab, Marc, and Gregoire Chick. "Trapeziectomy for trapeziometacarpal osteoarthritis." Bone & Joint Open 2, no. 3 (March 1, 2021): 141–49. http://dx.doi.org/10.1302/2633-1462.23.bjo-2020-0188.r1.

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Aims The objective of this systematic review was to describe trapeziectomy outcomes and complications in the context of osteoarthritis of the base of the thumb after a five-year minimum follow-up. Methods Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were used to guide study design, and 267 full-text articles were assessed for eligibility. After exclusion criteria application, 22 studies were included, involving 728 patients and 823 trapeziectomies. Outcomes included pre- and postoperative clinical and radiological characteristics. Complications and revisions were recorded. Results All the studies reported good results regarding pain and range of motion at the last follow-up of 8.3 years (5 to 22); the mean satisfaction rate was 91% (84% to 100%). It was difficult to assess the impact on metacarpophalangeal joint motion in extension with contrary results. The key pinch returned to its preoperative values, whereas tip pinch showed a modest improvement (+14%), with a mild improvement found in grip strength (+25%) at the last follow-up. The mean progressive trapezial collapse was 48% (0% to 85%) and was not correlated with pain, grip strength, or satisfaction. The most represented complications were linked to tendons or nerves affected during additional procedures to stabilize the joint (11.6%; n = 56). Mechanical complications included symptomatic scapho-M1 impingement (3.1%; n = 15/580), leading to nine surgical revisions out of 581 trapeziectomies. Meta-analysis was not possible due to study heterogeneity and limited data. Conclusion After a minimum five-year follow-up, trapeziectomy achieved high patient satisfaction and pain relief. However, strength seemed to be deteriorating with detrimental consequences, but this did not correlate with trapezial collapse. The issues related to underestimating mechanical complications and varying degrees of success should be highlighted in the information given to patients. Evidence-based analyses should help the surgeon in their decision-making. Cite this article: Bone Jt Open 2021;2(3):141–149.
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18

Futami, Toshiro, Kazuhito Nakamura, and Ikuo Shimajiri. "Osteotomy for trapeziometacarpal arthrosis." Acta Orthopaedica Scandinavica 63, no. 4 (January 1992): 462–64. http://dx.doi.org/10.3109/17453679209154769.

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19

Wolf, Jennifer Moriatis. "Injections for Trapeziometacarpal Osteoarthrosis." Journal of Hand Surgery 35, no. 6 (June 2010): 1007–9. http://dx.doi.org/10.1016/j.jhsa.2010.03.044.

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20

Algar, Lori. "Orthoses for Trapeziometacarpal Arthrosis." Journal of Hand Surgery 39, no. 3 (March 2014): 549–51. http://dx.doi.org/10.1016/j.jhsa.2013.12.026.

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21

McCarthy, Chris M., and Hisham M. Awan. "Trapeziometacarpal Dislocation Without Fracture." Journal of Hand Surgery 39, no. 11 (November 2014): 2292–93. http://dx.doi.org/10.1016/j.jhsa.2014.08.029.

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22

Becker, Stéphanie J. E., and David Ring. "Epidemiology of Trapeziometacarpal Arthrosis." Journal of Hand Surgery 40, no. 7 (July 2015): 1506. http://dx.doi.org/10.1016/j.jhsa.2015.04.038.

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23

Gay, A. M., A. Cerlier, A. Iniesta, and R. Legré. "Surgery for trapeziometacarpal osteoarthritis." Hand Surgery and Rehabilitation 35, no. 4 (September 2016): 238–49. http://dx.doi.org/10.1016/j.hansur.2016.06.002.

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24

Imaeda, Toshihiko, Kai-Nan An, William P. Cooney, and Ronald Linscheid. "Anatomy of trapeziometacarpal ligaments." Journal of Hand Surgery 18, no. 2 (March 1993): 226–31. http://dx.doi.org/10.1016/0363-5023(93)90352-4.

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25

DAMEN, A., B. VAN DER LEI, and P. H. ROBINSON. "Bilateral Osteoarthritis of the Trapeziometacarpal Joint Treated by Bilateral Tendon Interposition Arthroplasty." Journal of Hand Surgery 22, no. 1 (February 1997): 96–99. http://dx.doi.org/10.1016/s0266-7681(97)80029-0.

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Twenty-four flexor carpi radialis (FCR) tendon interposition arthroplasties of the trapezium for bilateral trapeziometacarpal osteoarthritis were reviewed. Pain was reduced in all cases. Function was improved in all right hands and in 92% of the left hands. FCR tendon interposition arthroplasty for bilateral trapeziometacarpal osteoarthritis yields satisfactory long-term results on both sides.
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26

Slater, R. R. "Long-Term Outcomes of Trapeziometacarpal Arthrodesis in the Management of Trapeziometacarpal Arthritis." Yearbook of Hand and Upper Limb Surgery 2009 (January 2009): 195–97. http://dx.doi.org/10.1016/s1551-7977(09)79236-2.

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27

Rizzo, Marco, Steven L. Moran, and Alexander Y. Shin. "Long-Term Outcomes of Trapeziometacarpal Arthrodesis in the Management of Trapeziometacarpal Arthritis." Journal of Hand Surgery 34, no. 1 (January 2009): 20–26. http://dx.doi.org/10.1016/j.jhsa.2008.09.022.

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28

Muramatsu, Keiichi, Yasuhiro Tominaga, Takahiro Hashimoto, and Toshihiko Taguchi. "Cross-Shaped Bone Grafting and Locking Plate Fixation for Arthrodesis of the Trapeziometacarpal Joint: Surgical Technique and Early Mobilization." Journal of Hand Surgery (Asian-Pacific Volume) 24, no. 01 (February 13, 2019): 55–59. http://dx.doi.org/10.1142/s2424835519500103.

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Background: The trapeziometacarpal joint is the second most common site of osteoarthritis in the hand and the most frequent one to require surgery. Arthrodesis of the trapeziometacarpal joint is recognized as one of the valuable technique but unfortunately there has been wide variation in the union rate. The purpose of this study was to evaluate a new arthrodesis technique involving a cross-shaped bone graft and locking plate fixation. Methods: Eleven male patients diagnosed as Eaton’s stage III osteoarthritis of the trapeziometacarpal join were treated in our institute. The mean patient age was 62 years (range 50 to 80 years). At the day after surgery, physical therapy was started and free use of the hand was permitted. Results: Patients showed radiographic evidence of trapeziometacarpal joint union after an average postoperative period of 8.3 weeks (range 6–12 weeks). The VAS pain score significantly decreased from 7.2 points preoperatively to 0.4 points after surgery. Mean side pinch strength increased significantly from 3.8 kg (53% compared to unaffected side) prior to surgery to 6.2 kg (86%). The DASH score improved from 38.6 (range 34.1–43.2) preoperatively to 17.0 (6.8–22.7) postoperatively. Conclusions: These data suggested that our technique is a successful procedure for the trapeziometacarpal joint arthrodesis. Cross-shaped bone grafts have the advantages of restoring thumb length and providing internal stabilization, especially for rotational force. No complications arose at the bone harvest site of the iliac crest. The procedure seems to be technically demanding, particularly for adapting the bone graft to perfectly match the shape of the defect.
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29

Caekebeke, Pieter, and Joris Duerinckx. "Can surgical guidelines minimize complications after Maïa® trapeziometacarpal joint arthroplasty with unconstrained cups?" Journal of Hand Surgery (European Volume) 43, no. 4 (November 13, 2017): 420–25. http://dx.doi.org/10.1177/1753193417741237.

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The most important complications of trapeziometacarpal arthroplasty are dislocation and component loosening. Incorrect cup position is often a contributing factor. Intra-operative guidelines to optimize cup orientation have recently been described. We evaluated the functional and radiological outcome of 50 Maïa® trapeziometacarpal prostheses that were implanted according to these guidelines. The minimum follow-up was 56 months. No constrained cups were used. Functional outcome was good to excellent. No spontaneous dislocations occurred. No radiological signs of loosening were observed. There was one case of premature wear. The survival rate was 96% (95% confidence interval 85 to 99%) at a mean of 65 months, with two prosthesie removed for posttraumatic trapezial fractures. This study shows that correct implant position can lead to reliable medium-term results after trapeziometacarpal joint arthroplasty. Level of evidence: IV
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30

Kanaya, Kumiko, Kohei Kanaya, Kousuke Iba, and Toshihiko Yamashita. "Attrition Rupture of the Flexor Pollicis Longus Tendon after Arthrodesis of the Trapeziometacarpal Joint: A Case Report." Hand Surgery 20, no. 03 (September 21, 2015): 474–76. http://dx.doi.org/10.1142/s0218810415720235.

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We report a case of flexor pollicis longus tendon rupture after arthrodesis of the trapeziometacarpal joint with headless screws using the criss-cross technique. Although flexor pollicis longus tendon rupture is a conceivable complication after the trapeziometacarpal joint arthrodesis, very few cases have rarely been reported in the literature. We should remind that screws inserted into the trapezium could lead to a rupture of the flexor pollicis longus tendon.
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31

Tsehaie, Jonathan, Mark J. W. van der Oest, Ralph Poelstra, Ruud W. Selles, Reinier Feitz, Harm P. Slijper, Steven E. R. Hovius, and Jarry T. Porsius. "Positive experience with treatment is associated with better surgical outcome in trapeziometacarpal osteoarthritis." Journal of Hand Surgery (European Volume) 44, no. 7 (June 1, 2019): 714–21. http://dx.doi.org/10.1177/1753193419851777.

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The aim of this study was to investigate the association between patients’ experiences with trapeziometacarpal arthroplasty and treatment outcomes in terms of patient-reported outcome measures, grip and pinch strength. We included 233 patients who received a Weilby procedure for trapeziometacarpal osteoarthritis. Before surgery and 12 months after surgery, patients completed the Michigan Hand Outcomes Questionnaire, and their pinch and grip strengths were measured. At 3 months after surgery, a patient-reported experience measure was completed. Using regression analysis, significantly positive associations were found between the Michigan Hand questionnaire and the patient-reported experience measure, with the strongest significant associations being for patients’ experiences with information provision. No significant associations were found between the patients’ experience and strength outcomes. The results highlight the potential importance of positive experience with the treatment process to improve treatment outcomes in patients undergoing surgery for trapeziometacarpal osteoarthritis. Level of evidence: IV
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32

Tchurukdichian, Alain, David Guillier, Vivien Moris, Leslie-Ann See, and Yvan Macheboeuf. "Results of 110 IVORY® prostheses for trapeziometacarpal osteoarthritis with a minimum follow-up of 10 years." Journal of Hand Surgery (European Volume) 45, no. 5 (January 28, 2020): 458–64. http://dx.doi.org/10.1177/1753193419899843.

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The IVORY® prosthesis is a total trapeziometacarpal joint prosthesis used for the treatment of symptomatic trapeziometacarpal osteoarthritis. The aim of this prospective study was to evaluate its long-term outcomes with a minimum follow-up of 10 years. From 2004 to 2007, 110 trapeziometacarpal prostheses (95 patients) were implanted. The implant survival curve was constructed using the Kaplan–Meier method. Five patients were lost from follow-up and two died. Six prosthesis (5.5%) were removed after dislocation or fracture of the trapezium. The survival rate of the prosthesis was 95%. After 10 years, the mean visual analogue pain score was 0.24/10 and the key-pinch force was similar to the other hand. Dislocations occurred for eight implants (7.3%). No radiological loosening was noted. In conclusion, the long-term results with the IVORY® prosthesis are very satisfactory in terms of pain relief, function and survival. Level of evidence: II
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33

Ledoux, Pascal. "Revision procedures after trapeziometacarpal surgery." Hand Surgery and Rehabilitation 40 (September 2021): S143—S150. http://dx.doi.org/10.1016/j.hansur.2020.08.010.

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34

Karlsson, Magnus K. "Arthrodesis of the Trapeziometacarpal Joint." Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery 25, no. 2 (January 1991): 167–71. http://dx.doi.org/10.3109/02844319109111278.

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35

O’LEARY, S. T., A. O. GROBBELAAR, N. GOLDSMITH, P. J. SMITH, and D. H. HARRISON. "Silicone Arthroplasty for Trapeziometacarpal Arthritis." Journal of Hand Surgery 27, no. 5 (October 2002): 457–61. http://dx.doi.org/10.1054/jhsb.2002.0827.

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Twenty-three patients who had undergone trapeziectomy and Helal silicone rubber ball interposition for trapeziometacarpal arthritis were reviewed. The average age at operation was 63 (range 48–84) years and the mean follow-up was 59 (range 12–138) months. Of the 23 patients reviewed, two had pain at rest and four had some discomfort on exertion. Mean post-operative thumb extension was 37° whilst mean palmar abduction was 40°. Mean post-operative grip strength was 19 kg and thumb-pinch strength was 4.0 kg, 77% and 78% of the age- and sex-matched normal values. There were no cases of prosthetic dislocation, prosthetic fracture or silicone synovitis.
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36

Kelleher, John C. "Dislocation of the trapeziometacarpal joint." Plastic and Reconstructive Surgery 84, no. 6 (December 1989): 1022. http://dx.doi.org/10.1097/00006534-198912000-00091.

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37

Ardouin, Ludovic, Benjamin Mattelaer, Federico Villani, Luca Vaienti, and Michel Merle. "Reconstruction for Failed Trapeziometacarpal Implant." Techniques in Hand & Upper Extremity Surgery 15, no. 4 (December 2011): 225–29. http://dx.doi.org/10.1097/bth.0b013e31821b3afe.

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38

Wachtl, S. W., and G. R. Sennwald. "Complications after Ledoux trapeziometacarpal arthroplasty." Journal of Hand Surgery 21, no. 1_suppl (February 1996): 9. http://dx.doi.org/10.1016/s0266-7681(96)80244-0.

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39

Man, D. I. "Revision of Thumb Trapeziometacarpal Arthroplasty." Yearbook of Hand and Upper Limb Surgery 2007 (January 2007): 224. http://dx.doi.org/10.1016/s1551-7977(08)70364-9.

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40

Cooney, William P., Timothy P. Leddy, and Dirk R. Larson. "Revision of Thumb Trapeziometacarpal Arthroplasty." Journal of Hand Surgery 31, no. 2 (February 2006): 219.e1–219.e9. http://dx.doi.org/10.1016/j.jhsa.2005.10.018.

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41

Forthman, Christopher L. "Management of Advanced Trapeziometacarpal Arthrosis." Journal of Hand Surgery 34, no. 2 (February 2009): 331–34. http://dx.doi.org/10.1016/j.jhsa.2008.11.028.

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42

LISANTI, M., M. ROSATI, G. SPAGNOLLI, and G. LUPPICHINI. "Trapeziometacarpal Joint Arthrodesis for Osteoarthritis." Journal of Hand Surgery 22, no. 5 (October 1997): 576–79. http://dx.doi.org/10.1016/s0266-7681(97)80348-8.

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Fifty-two cases of trapeziometacarpal joint osteoarthritis were treated with arthrodesis using small staple fixation. Eighty-five per cent of the patients were free of pain, with normal thumb. Opposition to the fourth finger tip was always possible and opposition to the little finger tip was observed in 94% of cases. Four patients (7.6%) developed a non-union but only two complained of pain. Arthrodesis with power staple fixation minimizes bone resection and postoperative immobilization (mean 28 days) because of the good stability following this procedure.
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43

CHAMAY, A., and F. PIAGET-MOREROD. "Arthrodesis of the Trapeziometacarpal Joint." Journal of Hand Surgery 19, no. 4 (August 1994): 489–97. http://dx.doi.org/10.1016/0266-7681(94)90215-1.

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Over a 10-year period, 32 trapeziometacarpal (TM) joint fusions were performed in 29 patients, and reviewed. Pin fixation with tension band wiring was used in 14 cases, screws in eight cases, a plate in six cases, K-wires in three cases and staple fixation in one case. None was bone grafted. Splinting was applied for 4 to 5 weeks. There were four cases of delayed union (more than 2 months) and four cases of non-union requiring re-operation (12.5%). The average follow-up was 6 years and 7 months. Grip (26.5 kg) and pinch (4.9 kg) strength were respectively 7% and 18% less than the normal contralateral side. In bilateral osteoarthritis, grip and pinch were stronger than the contralateral side. Joint angulations measured on X-ray films showed for the peritrapezial joint an 18° arc in flexion-extension (a reduction of 64% compared to the contralateral side) and 11° of arc in abduction-adduction (a reduction of 72%). MP joint mobility increased in extension (160%), in flexion (23%), in abduction (120%), in adduction (157%). Despite the marked decrease in motion, subjective functional complaints were minimal. 78.1% of the patients were fully satisfied, 15.6% partly satisfied, and 6.3% dissatisfied. Pain was absent in 50% of the cases and very mild in 40.7%. Three patients complained of discomfort. Eight patients were noted to have osteoarthritic changes in the scaphotrapezial joint.
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44

ZANCOLLI, EDUARDO A., CARLOS ZIADENBERG, and EDUARDO ZANCOLLI. "Biomechanics of the Trapeziometacarpal Joint." Clinical Orthopaedics and Related Research &NA;, no. 220 (July 1987): 14???26. http://dx.doi.org/10.1097/00003086-198707000-00004.

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45

Megerle, K., S. Grouls, G. Germann, O. Kloeters, and S. Hellmich. "Revision surgery after trapeziometacarpal arthroplasty." Archives of Orthopaedic and Trauma Surgery 131, no. 2 (June 18, 2010): 205–10. http://dx.doi.org/10.1007/s00402-010-1128-x.

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46

Becker, Stéphanie J. E., Jan Paul Briet, Michiel G. J. S. Hageman, and David Ring. "Death, Taxes, and Trapeziometacarpal Arthrosis." Clinical Orthopaedics and Related Research® 471, no. 12 (August 20, 2013): 3738–44. http://dx.doi.org/10.1007/s11999-013-3243-9.

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47

Rust, P. A., E. T. H. Ek, and S. K. Y. Tham. "Assessment of normal trapeziometacarpal joint alignment." Journal of Hand Surgery (European Volume) 42, no. 6 (February 14, 2017): 605–9. http://dx.doi.org/10.1177/1753193417690473.

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The purpose of this study was to determine the alignment of the normal trapeziometacarpal joint and any changes in its alignment with age. Radial, dorsal and dorsoradial subluxation were measured on computerized tomographic scans in 50 joints of 50 adults aged 18 to 62. There were statistically significant correlations between increasing age and dorsoradial subluxation but no significant correlation with dorsal and radial subluxation. Significant dorsoradial subluxation occurs after 46 years of age in the normal trapeziometacarpal joint. A mean dorsoradial subluxation of 21% (range 14%–30%) can be considered normal in this age group.
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48

Kurumadani, Hiroshi, Kazuya Kurauchi, Shota Date, Yosuke Ishii, and Toru Sunagawa. "Effect of the position of the interphalangeal joint on movements of the trapeziometacarpal joint during thumb opposition." Journal of Hand Surgery (European Volume) 47, no. 5 (January 8, 2022): 495–500. http://dx.doi.org/10.1177/17531934211065879.

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The Kapandji test is a simple method to score thumb opposition; however, the position of the interphalangeal joint of the thumb during this test has not been described. We aimed to quantitatively examine the effect of the thumb interphalangeal joint position on movements of the trapeziometacarpal joint during thumb opposition using the Kapandji test. The Kapandji test was carried out in 20 healthy participants during thumb interphalangeal joint extension and flexion. Movements of the joints and the activity of thenar muscles were recorded using motion capture and electromyography, respectively. We found that interphalangeal joint extension increased the trapeziometacarpal joint movement and thenar muscle activity compared with interphalangeal joint flexion, which contributed to thumb opposition at Kapandji Positions 0–6. These findings suggest the position of the thumb interphalangeal joint affects the trapeziometacarpal joint during thumb opposition, and assessment of thumb opposition using the Kapandji test is best done with the thumb interphalangeal joint in extension.
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49

Mariconda, M., S. Russo, F. Smeraglia, and G. Busco. "Partial trapeziectomy and pyrocarbon interpositional arthroplasty for trapeziometacarpal joint osteoarthritis: results after minimum 2 years of follow-up." Journal of Hand Surgery (European Volume) 39, no. 6 (February 7, 2014): 604–10. http://dx.doi.org/10.1177/1753193413519384.

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A prospective study was undertaken to assess the outcomes of a series of patients treated using pyrocarbon implant arthroplasty after partial trapeziectomy for trapeziometacarpal joint osteoarthritis. We analysed the results of this procedure in 27 trapeziometacarpal joints of 25 patients. The mean follow-up interval was 34 months (range 26–52). The study showed that pyrocarbon interpositional arthroplasty provided excellent pain relief and high patient satisfaction. Overall function, according to disabilities of the arm, shoulder and hand (DASH) score, improved from 48 points preoperatively to 14 points at the last follow-up assessment. Key pinch strength recorded in the operated hands was comparable with the results obtained in the contralateral hand and in healthy individuals from the same population. No further operations were performed in the study group. Partial trapeziectomy with pyrocarbon arthroplasty may prove to be a successful option for the treatment of trapeziometacarpal joint osteoarthritis. Further long-term comparative studies are warranted.
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50

Liverneaux, P. A., S. Ichihara, S. Hendriks, S. Facca, and F. Bodin. "Fractures and dislocation of the base of the thumb metacarpal." Journal of Hand Surgery (European Volume) 40, no. 1 (October 13, 2014): 42–50. http://dx.doi.org/10.1177/1753193414554357.

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Acute traumatic lesions of the base of the first metacarpal are frequent and their consequences can affect the opposition of the thumb. They usually occur after trauma in compression along the axis of the thumb in flexion. Restoring the anatomy and biomechanics of the trapeziometacarpal joint is essential when treating these injuries, hence why surgical treatment is usually indicated. We distinguish trapeziometacarpal dislocations, small-fragment and large-fragment Bennett’s fractures, articular three-fragment Rolando and comminutive fractures and extra-articular fractures of the base of the first metacarpal. All carry the risk of narrowing of the first web. Recent studies have described poor results with conservative treatment. Surgical techniques are varied: percutaneous surgery, open surgery and arthroscopic surgery. The techniques of osteosynthesis are various: locking plates, and direct or indirect screw fixation or pinning. The prognosis depends on the quality of the restoration of the mobility of the trapeziometacarpal joint. Level of evidence: 4
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