Arthroscopic Resection of Distal Pole of the Scaphoid for Scaphotrapeziotrapezoid Joint Arthritis: Comparison between Simple Resection and Implant Interposition

Pegoli, Loris; Pozzi, Alessandro; Pivato, G.; Luchetti, Riccardo

doi:10.1055/s-0036-1572539

Cited by 8 publications

(17 citation statements)

References 20 publications

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“…Published studies reported functional improvement and decrease in pain scores postoperatively, but changes in carpal alignment on X-ray were not reported. [20][21][22][23] Amplitudes of ROM were maintained except for wrist extension and radial deviation, which were diminished by less than 15 and 10, degrees respectively. 23 Grip and pinch strength remained largely preserved; one study reported this to be 85 and 82% respectively compared with the nonoperated side.…”

Section: Discussionmentioning

confidence: 99%

“…22,24,25 In a recent prospective study of 11 patients who underwent arthroscopic resection and 13 patients who underwent additional Pyrocarbon implant interposition the Disabilities of the Arm, Shoulder and Hand (DASH) and visual analog scale (VAS) scores, grip and pinch strength, and X-rays for DISI stance were comparable 24 months postoperatively. 22 These findings are in contrast to another study revealing a significant reduction in pinch strength among patients with a Pyrocarbon implant, compared with patients without Pyrocarbon implant. 24 Other procedures performed arthroscopically are debridement and trapeziectomy with partial trapezoidal excision.…”

Section: Discussionmentioning

confidence: 99%

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Current Trends in Operative Treatment of Scaphotrapeziotrapezoid Osteoarthritis: A Survey among European Hand Surgeons

2020

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Objective Based on the available evidence, the optimal surgical treatment for isolated scaphotrapeziotrapezoid oarthritis (STT OA) remains unclear. The purpose of this study is to explore the prevailing surgical practice for isolated STT OA among European hand surgeons. We hypothesized that a considerable variance exists in the current surgical practice among hand surgeons in Europe. Methods An online survey was distributed to 20 participating member states of the Federation of European Societies for Surgery of the Hand (FESSH). Respondents were questioned on their country of practice, surgical experience, preferred surgical procedure, frequency of performing this procedure, factors in decision-making, and other performed surgical procedures. Results Four hundred and sixty-five responses were received with an estimated response rate of 19%. Trapeziectomy with partial trapezoidal excision was the surgical treatment of choice among the participating hand surgeons in Europe (38%), followed by STT joint fusion (30%), and distal scaphoid excision (14%). Conclusion This survey provides an insight into the surgical management of isolated STT OA among hand surgeons in Europe. A wide variety of preferred treatment techniques were found. Evidence concerning the optimal surgical treatment has not been established. Future prospective randomized studies comparing different techniques are warranted.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Current Trends in Operative Treatment of Scaphotrapeziotrapezoid Osteoarthritis: A Survey among European Hand Surgeons

2020

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“…Arthroscopic distal scaphoid resection was proposed by several authors. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15] Their results, even at different follow-up times, were strongly similar, demonstrating that the technique was effective. Fontes 31 performed an arthroscopic 3 mm distal scaphoid resection in 8 patients (7 STT OA and 1 case of STT arthrodesis nonunion) with excellent results and without complications at 1 year of follow-up.…”

Section: Discussionmentioning

confidence: 99%

“…A further inclusion criterion is the presence of a radiolunate (RL) angle of less than 35° according to Garcia-Elias and Lluch. 18 However, Pegoli et al 11 have already shown that patients with RL angle ≥35° had no clinical problems after arthroscopic resection despite the increase in RL angle. The exclusion criteria were the presence of midcarpal arthritis or a diffuse wrist arthrosis.…”

Section: Methodsmentioning

confidence: 98%

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Arthroscopic Distal Scaphoid Resection for Scapho-Trapezium-Trapezoid Arthritis

Luchetti¹,

Atzei

Cozzolino³

2019

Hand (New York, N,Y.)

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Background: The purpose of this study was to describe the technique of arthroscopic resection of the scaphoid head and evaluate both the clinical and radiographic results of scapho-trapezium-trapezoid osteoarthritis cases. Methods: Seventeen cases (13 men and 4 women) with a mean age of 57 years (24-74 years) were operated on from 2002 to 2015. Inclusion criteria were nontraumatic radial-sided wrist pain without improvement after 4 months of conservative treatment and positive radiographic images demonstrating the presence of osteoarthritis. All cases were evaluated preoperatively and postoperatively using visual analog scale, wrist range of motion (ROM), grip strength, and patient’s work status (Mayo Wrist Score). Disabilities of the Arm, Shoulder, and Hand (DASH) and Patient-Rated Wrist/Hand Evaluation (PRWHE) questionnaires were also administered. The technique consisted of performing a 3- to 4-mm round-shaped scaphoid head resection via arthroscopy while preserving the scaphotrapezial and scaphocapitate ligament insertions. Results: At an average follow-up of 24 months, all the patients were satisfied. The results showed statistically significant improvement in pain at rest ( P = .001), under maximal load ( P = .0001), and in Mayo Wrist Score (MWS) ( P = .0001). Wrist ROM, grip strength, DASH, and PRWHE showed an improvement without reaching statistical significance. The mean preoperative radiolunate (RL) X-ray measurement angle was 17° (–10° to 35°). The postoperative mean value was 25° (0°-45°). In the preoperative radiographic evaluation, 11 cases exceeded the “critical” 15° RL angle. At follow-up, the RL angle increased in 10 cases and remained unchanged in 7 cases. None of these cases became symptomatic. Transitory neurapraxia of the dorsal superficial branch of the radial nerve was observed in 1 case. Damage of the dorsal branch of the radial artery was immediately fixed. Conclusions: Arthroscopic resection of the distal portion of the scaphoid due to scapho-trapezium-trapezoid osteoarthritis demonstrated an effective and safe technique with less complications than open surgery.

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Trapeziometacarpal and Scaphotrapezial Arthroscopy; Metacarpophalangeal Arthroscopy of the Lesser Rays

Corella

Ocampos

Carnicer

et al. 2021

Arthroscopy and Endoscopy of the Hand, Wrist and Elbow

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Arthroscopic Resection of Distal Pole of the Scaphoid for Scaphotrapeziotrapezoid Joint Arthritis: Comparison between Simple Resection and Implant Interposition

Abstract: A prospective comparative study.

Cited by 8 publications

References 20 publications

Current Trends in Operative Treatment of Scaphotrapeziotrapezoid Osteoarthritis: A Survey among European Hand Surgeons

Current Trends in Operative Treatment of Scaphotrapeziotrapezoid Osteoarthritis: A Survey among European Hand Surgeons

Arthroscopic Distal Scaphoid Resection for Scapho-Trapezium-Trapezoid Arthritis

Trapeziometacarpal and Scaphotrapezial Arthroscopy; Metacarpophalangeal Arthroscopy of the Lesser Rays

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