Midcarpal and Scaphotrapeziotrapezoid Arthritis in Patients with Carpometacarpal Arthritis

Katzel, Evan B.; Bielicka, Dierde; Shakir, Sameer; Fowler, John R.; Buterbaugh, Glenn A.; Imbriglia, Joseph E.

doi:10.1097/prs.0000000000002160

Cited by 13 publications

(9 citation statements)

References 27 publications

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“…Furthermore, they showed that a history of trauma did not appear to be a causal factor, as a midcarpal degenerative lesion prior to treatment may be the cause of persistent symptoms in patients who have undergone operations due to STT-OA. 27,33 We fully agree with this conclusion, and consider that midcarpal OA is a consequence of SL injury, and regard the DISI-type carpal instability as an evolutionary form of STT-OA.…”

Section: Discussionsupporting

confidence: 67%

Introducing the “SOAC Wrist”: Scaphotrapeziotrapezoid Osteoarthritis Advanced Collapse

Oliveira¹,

Aita

Brunelli

et al. 2020

Revista Iberoamericana de Cirugía de la Mano

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Despite being the second most common osteoarthritis of the wrist, little is known about scaphotrapeziotrapezoid osteoarthritis. Not all patients with this type of osteoarthritis have symptoms, and, even in those symptomatic patients, the intensity of the complaint is not proportional to the severity of the degeneration. In symptomatic patients, when the conservative treatment fails, grading classifications to help define the surgical treatment are solely based on the joint characteristics, and fail to assess the rest of the carpus.In general, most carpal degenerative processes show the same evolution pattern, which varies according to the initial injury, along with the type of deformity and the inherent instabilities. Thus, we hypothesize that the degenerative evolution due to primary osteoarthritis of the scaphotrapeziotrapezoid joint also follows a logical evolutionary sequence, similar to the one that occurs in cases of scapholunate advanced collapse (SLAC), scaphoid nonunion advanced collapse (SNAC), scaphoid malunion advanced collapse (SMAC), and scaphoid chondrocalcinosis advanced collapse (SCAC), thus resulting in scaphotrapeziotrapezoid osteoarthritis advanced collapse (SOAC). We have divided the SOAC into three groups, and considered that their treatment shall be guided by the evolutionary stage of the disease, and not by the surgeon's preferred technique.

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Section: Discussionsupporting

confidence: 67%

Introducing the “SOAC Wrist”: Scaphotrapeziotrapezoid Osteoarthritis Advanced Collapse

Oliveira¹,

Aita

Brunelli

et al. 2020

Revista Iberoamericana de Cirugía de la Mano

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“…As part of the Framingham Osteoarthritis Study, Haugen et al 12 reported the overall prevalence of wrist and hand arthritis to be 1.7% and 1.0% for men and women, respectively, using only the Kellgren–Lawrence grade >2 as a cutoff. Katzel et al 15 reported a 24% prevalence of MC arthritis in a patient population with basal joint arthritis. Finally, Katayama et al 16 described the prevalence of ulnar RC and distal radioulnar OA in the Japanese population and found an incidence of 12.8%.…”

Section: Discussionmentioning

confidence: 98%

Radiographic Patterns of Radiocarpal and Midcarpal Arthritis

et al. 2017

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Introduction:The purpose of this study was to determine the specific locations of radiocarpal and/or midcarpal joint osteoarthritis (RC/MC OA).Methods:A total of 1,007 wrist radiographs were screened for the presence of RC/MC OA. The locations of the degenerative changes were identified. In addition, the observers then determined whether the observed patterns fell under the scapholunate advanced collapse (SLAC) pattern.Results:The SLAC pattern did not represent the majority of observed degenerative changes. Almost one-third of the patients had degenerative changes present at the radiolunate or scaphocapitate articulations in the absence of radioscaphoid changes. Women have a lower risk of arthritis compared with men (odds ratio, 0.306; P < 0.05). Increasing age correlated with the presence of arthritis (odds ratio, 1.05; P < 0.05).Conclusion:Contrary to the previous reports in the literature, our cohort demonstrated that <50% of wrist OA fell into the category of SLAC arthritis.

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“…In the same study, midcarpal arthritis (capitolunate) was present in 24% of the 896 patients. 19 For this reason, some authors favor additional partial resection of the second carpometacarpal joint. 11…”

Section: Discussionmentioning

confidence: 99%

Bone Tunnel Orientation in Suspension Arthroplasty of the Thumb Carpometacarpal Joint: An Anatomical Cadaver Study

Bömmel

Könneker

Sonnow

et al. 2020

Hand (New York, N,Y.)

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Background: Ligament suspension after trapeziectomy is a common technique in patients with osteoarthrosis. In this study, we set out to determine whether the orientation of the bone tunnel in the first metacarpal base affects the intraoperative position of the first metacarpal after surgery. Methods: Trapeziectomy and Epping procedure were performed in 32 cadaver hands. A drill hole was placed in the base of the first metacarpal, leaving a radial to ulnar tunnel parallel to the joint surface or a diagonal bone tunnel from the radiodorsal surface to the ulnar joint surface of the first metacarpal. Positioning of the first metacarpal was studied via radiography. Results: The distance between the first metacarpal and the scaphoid after suspension arthroplasty was 9.5 ± 2.6 mm when using the parallel radioulnar bone tunnel and 10.9 ± 2.3 mm when using the diagonal bone tunnel. Suspension of the first metacarpal was 33% higher with the diagonal bone tunnel compared with when using the parallel bone tunnel (displacement of 2.8 ± 2.0 mm vs 4.2 ± 2.0 mm). Conclusions: Higher suspension of the first metacarpal after trapeziectomy can be significantly achieved in our cadaveric model when using ligament suspension of the flexor carpi radialis tendon passed from the ulnar joint surface to the dorsum of the metacarpal. Our results have to be determined via clinical examination. To date, we prefer the diagonal bone tunnel when performing ligament suspension arthroplasty.

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Midcarpal and Scaphotrapeziotrapezoid Arthritis in Patients with Carpometacarpal Arthritis

Cited by 13 publications

References 27 publications

Introducing the “SOAC Wrist”: Scaphotrapeziotrapezoid Osteoarthritis Advanced Collapse

Introducing the “SOAC Wrist”: Scaphotrapeziotrapezoid Osteoarthritis Advanced Collapse

Radiographic Patterns of Radiocarpal and Midcarpal Arthritis

Bone Tunnel Orientation in Suspension Arthroplasty of the Thumb Carpometacarpal Joint: An Anatomical Cadaver Study

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