Reduction in Cylindrical Grasp Strength Is Associated With Early Thumb Carpometacarpal Osteoarthritis

Coughlan, Monica J.; Bourdillon, Alexandra T; Crisco, Joseph J.; Kenney, Deborah; Weiss, Arnold‐Peter C.; Ladd, Amy L.

doi:10.1007/s11999-016-5151-2

Cited by 16 publications

(5 citation statements)

References 25 publications

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“…Notable associations between self-reported pain and function have been reported for these patients. Furthermore, compared with healthy individuals, patients with this condition have reduced grip and pinch strength 32 , including a decrease in cylindrical grasp and key pinch strength that can begin in the early stages of disease 33,34 . Some of these presentations might be due to changes in the structure and composition of the joint and changes in the innervation of the dorsal radial ligament, which has an important proprioceptive and stabilising role for the thumb base 35 .…”

Section: [H1] Disease Presentation and Burdenmentioning

confidence: 99%

Hand osteoarthritis: clinical phenotypes, molecular mechanisms and disease management

et al. 2018

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Osteoarthritis (OA) is a highly prevalent condition and the hand is the most commonly affected site. Patients with hand OA frequently report symptoms of pain, functional limitations, and frustration in undertaking everyday activities. The condition presents clinically with changes to the bone, ligaments, cartilage and synovial tissue, which can be observed using radiography, ultrasonography or MRI. Hand OA is a heterogeneous disorder and is considered to be multifactorial in aetiology. This review provides an overview of the epidemiology, presentation and burden of hand OA, including an update on hand OA imaging (including the development of novel techniques), disease mechanisms and management. In particular, areas for which new evidence has substantially changed the way we understand, consider and treat hand OA are highlighted. For example, genetic studies, clinical trials and careful prospective imaging studies from the past 5 years are beginning to provide insights into the pathogenesis of hand OA that might uncover new therapeutic targets in disease.

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Section: [H1] Disease Presentation and Burdenmentioning

confidence: 99%

Hand osteoarthritis: clinical phenotypes, molecular mechanisms and disease management

et al. 2018

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“…The cylindrical grasp demonstrated weakness in the early OA population when adjusting for age, sex, and handedness. Standard gross grasp dynamometer measurements in these subjects showed no difference in comparison to asymptomatic controls (21). In addition, key, tripod, and tip pinch diminished in the early OA population compared to controls, with key pinch the most robust predictor of OA (22).…”

Section: As To Purpose – Biomechanicsmentioning

confidence: 63%

“…Beighton hypermobility scores (31) did not correlate with translation, although scores trended towards lowering with increasing age. As noted, weaker key pinch most correlated with early symptomatic arthritis independent of age, sex, and body mass index (BMI) (21,22).…”

Section: As To Purpose – Biomechanicsmentioning

confidence: 80%

The Teleology of the Thumb: On Purpose and Design

Ladd¹

2018

The Journal of Hand Surgery

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The Andrew J. Weiland Medal is presented by the American Society for Surgery of the Hand to a midcareer researcher dedicated to advancing patient care in the field of hand surgery. The Weiland Medal for 2017 was presented to the author at the annual meeting of the American Society for Surgery of the Hand. The purpose of this article is to present current evidence on how biomechanics and morphology influence the pathophysiology of thumb carpometacarpal joint osteoarthritis.

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“…4,11 Grip strength decreases by 25 percent in early-stage arthritis and by 50 percent in advanced stages. 12,13 Three patterns of trapezial wear are recognized. 14 Whether these are progressive or divergent patterns and their clinical implications remain unresolved.…”

Section: Pathophysiology Of Trapeziometacarpal Joint Arthritismentioning

confidence: 99%

Update on Thumb Basal Joint Arthritis Surgery

Trost

Giménez

Staines

et al. 2021

Plastic &Amp; Reconstructive Surgery

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Learning Objectives: After studying this article, the participant should be able to: 1. Comprehend anatomy and biomechanics of the normal and arthritic trapeziometacarpal joint. 2. Evaluate best evidence for diagnosis and for operative and nonoperative treatment of thumb osteoarthritis. 3. Understand treatment pitfalls of basilar joint arthritis and complication avoidance. Summary: Articular and ligamentous anatomy of the trapeziometacarpal joint enables complex motions. Disability from arthritis, common at the trapeziometacarpal joint, is debilitating. Furthering the understanding of how trapeziometacarpal arthritis develops can improve treatment. The authors provide current best evidence for diagnosis and treatment of basilar joint arthritis. Pitfalls in treatment are discussed.

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Reduction in Cylindrical Grasp Strength Is Associated With Early Thumb Carpometacarpal Osteoarthritis

Abstract: Cylindrical grasp may serve as a more-sensitive measure for detecting early changes in early CMC OA. The associated decline in hand function also might provide an opportunity for measuring the effectiveness of treatment and intervention.

Cited by 16 publications

References 25 publications

Hand osteoarthritis: clinical phenotypes, molecular mechanisms and disease management

Hand osteoarthritis: clinical phenotypes, molecular mechanisms and disease management

The Teleology of the Thumb: On Purpose and Design

Update on Thumb Basal Joint Arthritis Surgery

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