Therapeutic interventions for osteoarthritis of the wrist: a systematic review and meta-analysis

Dean, Benjamin; Henari, Shwan; Thurley, Neal; Little, Chris; McNab, Ian; Riley, Nicholas

doi:10.12688/f1000research.16218.2

Cited by 3 publications

(2 citation statements)

References 23 publications

(30 reference statements)

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“…81 Concerning the comparison of operative vs. nonoperative treatments of wrist osteoarthritis, one recent meta-analysis has reported the paucity of prospective studies on the topic. 82…”

Section: Exemplary Evidencementioning

confidence: 99%

“…Likewise, another RCT reported that US guidance improved the performance, cost-effectiveness, and clinical outcomes of intraarticular wrist injections in rheumatoid arthritis 81 . Concerning the comparison of operative vs. nonoperative treatments of wrist osteoarthritis, one recent meta-analysis has reported the paucity of prospective studies on the topic 82 …”

Section: Radiocarpal Joint Arthritismentioning

confidence: 99%

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Ultrasound Imaging and Guidance in Common Wrist/Hand Pathologies

Mezian

Ricci

Jačiško

et al. 2021

Am J Phys Med Rehabil

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Wrist/hand pain is a prevalent musculoskeletal condition with a great spectrum of etiologies (varying from overuse injuries to soft tissue tumors). Although most of the anatomical structures are quite superficial and easily evaluated during physical examination, for several reasons, the use of ultrasound imaging and guidance has gained an intriguing and paramount concern in the prompt management of relevant patients. In this aspect, the present review aims to illustrate detailed cadaveric wrist/hand anatomy to shed light into better understanding the corresponding ultrasonographic examinations/interventions in carpal tunnel syndrome, trigger finger, de Quervain tenosynovitis, rhizarthrosis, and the radiocarpal joint arthritis. In addition, evidence from the literature supporting the rationale why ultrasound guidance is henceforth unconditional in musculoskeletal practice is also exemplified.

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“…81 Concerning the comparison of operative vs. nonoperative treatments of wrist osteoarthritis, one recent meta-analysis has reported the paucity of prospective studies on the topic. 82…”

Section: Exemplary Evidencementioning

confidence: 99%

Section: Radiocarpal Joint Arthritismentioning

confidence: 99%

Ultrasound Imaging and Guidance in Common Wrist/Hand Pathologies

Mezian

Ricci

Jačiško

et al. 2021

Am J Phys Med Rehabil

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A scoping review to map evidence regarding key domains and questions in the management of non-traumatic wrist disorders

Mitchell,

Hamilton,

Dean

et al. 2023

Hand Therapy

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Introduction Non-traumatic wrist disorders (NTWD) are commonly encountered yet sparse resources exist to aid management. This study aimed to produce a literature map regarding diagnosis, management, pathways of care and outcome measures for NTWDs in the United Kingdom. Methods An interdisciplinary team of clinicians and academic researchers used Joanna Briggs Institute guidelines and the PRISMA ScR checklist in this scoping review. A mixed stakeholder group of patients and healthcare professionals identified 16 questions of importance to which the literature was mapped. An a-priori search strategy of both published and non-published material from five electronic databases and grey literature resources identified records. Two reviewers independently screened records for inclusion using explicit eligibility criteria with oversight from a third. Data extraction through narrative synthesis, charting and summary was performed independently by two reviewers. Results Of 185 studies meeting eligibility criteria, diagnoses of wrist pain, De Quervain’s syndrome and ulna-sided pain were encountered most frequently, with uncontrolled non-randomised trial or cohort study being the most frequently used methodology. Diagnostic methods used included subjective questioning, self-reported pain, palpation and special tests. Best practice guidelines were found from three sources for two NTWD conditions. Seventeen types of conservative management, and 20 different patient-reported outcome measures were suggested for NTWD. Conclusion Substantial gaps in evidence exist in all parts of the patient journey for NTWD when mapped against an analytic framework (AF). Opportunities exist for future rigorous primary studies to address these gaps and the preliminary concerns about the quality of the literature regarding NTWD.

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The Surgical Treatment of Osteoarthritis

Brumat

Kunšič

Novak

et al. 2022

Life

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Osteoarthritis is a degenerative condition affecting the whole joint with the underlying bone, representing a major source of pain, disability, and socioeconomic cost worldwide. Age is considered the strongest risk factor, albeit abnormal biomechanics, morphology, congenital abnormality, deformity, malalignment, limb-length discrepancy, lifestyle, and injury may further increase the risk of the development and progression of osteoarthritis as well. Pain and loss of function are the main clinical features that lead to treatment. Although early manifestations of osteoarthritis are amenable to lifestyle modification, adequate pain management, and physical therapy, disease advancement frequently requires surgical treatment. The symptomatic progression of osteoarthritis with radiographical confirmation can be addressed either with arthroscopic interventions, (joint) preservation techniques, or bone fusion procedures, whereas (joint) replacement is preferentially reserved for severe and end-stage disease. The surgical treatment aims at alleviating pain and disability while restoring native biomechanics. Miscellaneous surgical techniques for addressing osteoarthritis exist. Advanced computer-integrated surgical concepts allow for patient personalization and optimization of surgical treatment. The scope of this article is to present an overview of the fundamentals of conventional surgical treatment options for osteoarthritis of the human skeleton, with emphasis on arthroscopy, preservation, arthrodesis, and replacement. Contemporary computer-assisted orthopaedic surgery concepts are further elucidated.

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Therapeutic interventions for osteoarthritis of the wrist: a systematic review and meta-analysis

Cited by 3 publications

References 23 publications

Ultrasound Imaging and Guidance in Common Wrist/Hand Pathologies

Ultrasound Imaging and Guidance in Common Wrist/Hand Pathologies

A scoping review to map evidence regarding key domains and questions in the management of non-traumatic wrist disorders

The Surgical Treatment of Osteoarthritis

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