Trapezial space height measurement after trapeziectomy: A comparison of the use of standard and stress radiographs

Bhat, Muralidhar; Davis, T. R. C.; Bannerjee, Anjan

doi:10.1053/jhsu.2003.50065

Cited by 28 publications

(15 citation statements)

References 13 publications

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“…30,31 Furthermore the validity and accuracy of its measurement have been questioned in a study involving a subgroup of the women enrolled in the present study. 32 Despite these criticisms the results of this study suggest that there is no benefit to ligament reconstruction or tendon interposition after excision of the trapezium in the short term at least. With each of these surgeries over 80% of patients achieved a satisfactory outcome with good pain relief, improved thumb strength, and restoration of function.…”

Section: Discussionmentioning

confidence: 69%

Excision of the trapezium for osteoarthritis of the trapeziometacarpal joint: A study of the benefit of ligament reconstruction or tendon interposition

Davis

Brady

Dias

2004

The Journal of Hand Surgery

277

187

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Section: Discussionmentioning

confidence: 69%

Excision of the trapezium for osteoarthritis of the trapeziometacarpal joint: A study of the benefit of ligament reconstruction or tendon interposition

Davis

Brady

Dias

2004

The Journal of Hand Surgery

277

187

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“…8 Using open source digital software (Image J, NIH), trapezial space height was measured from an orthogonal line from the long axis of the scaphoid at the distal articular surface and a parallel line that bisected the proximal first metacarpal articular surface at the midline ( Figure 3). 2 The trapezial space height was independently measured twice and averaged for each testing state. The percent decrease in trapezial space height from the preloaded state was also calculated for each load.…”

Section: Methodsmentioning

confidence: 99%

Biomechanical Comparison of Suture-Button Suspensionplasty and LRTI for Basilar Thumb Arthritis

Desai

Brogan

Richard

et al. 2016

Hand (New York, N,Y.)

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Surgery ArticleOsteoarthritis (OA) at the base of the thumb can cause severe pain, weakness, and deformity and can result in marked disability. 14 The unique anatomy of the thumb carpometacarpal (CMC) joint predisposes it to degenerative arthritis. 5,27 Specifically, the degree of weakening of the palmar beak ligament has been correlated with degenerative processes in the joint and is the target of ligament reconstruction for symptomatic arthritis. 7 Degenerative OA at the thumb CMC joint is treated initially with activity modification, splinting, medication, and intra-articular corticosteroid injections. 34 For advanced disease, or when nonoperative treatments have failed, surgical intervention can be considered. Surgical options include volar ligament reconstruction, 11 first metacarpal osteotomy, 13 CMC joint arthrodesis, 12 total joint arthroplasty, 1 and trapeziectomy with or without ligament reconstruction and tendon interposition (LRTI). 3,9 Comparative studies have shown no significant long-term difference in outcomes among these techniques, 18,[29][30][31] aside from a lower complication rate 30,31 and shorter operative time with trapeziectomy alone. 20 The use of a suture-button suspensionplasty (SBS) with trapeziectomy has grown in popularity. 6,24,35,36 Advocates of this technique cite safety, ease of use, early mobilization, and good early results. 35,36 However, it is not known how effectively the SBS withstands metacarpal subsidence under loaded conditions. The purpose of this study was to biomechanically compare the more widely adopted LRTI procedure with SBS using a cadaveric model. We hypothesize that the SBS will result in a biomechanically stronger construct with immediate loading. Demonstration of an enhanced ability to withstand early active pinch while preventing metacarpal subsidence may support early motion rehabilitation protocols. Abstract Background: The purpose of this study was to compare the initial biomechanical strength of trapeziectomy and suturebutton suspensionplasty (SBS) with ligament reconstruction and tendon interposition (LRTI) for thumb carpometacarpal (CMC) arthritis in a cadaveric model. Methods: Eight matched pairs of below-elbow cadaveric arms were used for this study. Each specimen was randomly assigned to either receive a trapeziectomy and LRTI (LRTI group) or trapeziectomy and SBS (SBS group). Using previously described and validated testing protocols, physiological key pinch was simulated. The thumb metacarpal was then incrementally loaded from 5 to 20 lbs, using 5-lb increments. Metacarpal subsidence during physiological key pinch and incremental loading was determined using radiographic measurements of trapezial space height. Results: The average pretesting trapezial space height did not differ significantly between the LRTI (11.9 mm) and SBS (13.7 mm) groups. After simulated physiological key pinch, the SBS group had significantly greater average trapezial space height compared with the LRTI group (8.0 mm vs 5.5 mm). For each incremental metacarpal load from 5...

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“…Les différentes séries de trapézectomie simple sans tendinoplastie rapportent des résultats comparables à celles avec tendinoplastie [20,21]. Bhat et al [22] ont montré que l'espace scaphotrapézien ne diminuait pas plus avec une trapézectomie simple qu'avec une suspensioplastie ou une interposition.…”

Section: Discussionunclassified

Trapézectomie totale avec tendinoplastie de suspension et d’interposition dans le traitement de la rhizarthrose : résultats à 6,5ans de recul moyen

Ferriere

Mansat

Rongières

et al. 2010

Chirurgie de la Main

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Trapezial space height measurement after trapeziectomy: A comparison of the use of standard and stress radiographs

Cited by 28 publications

References 13 publications

Excision of the trapezium for osteoarthritis of the trapeziometacarpal joint: A study of the benefit of ligament reconstruction or tendon interposition

Excision of the trapezium for osteoarthritis of the trapeziometacarpal joint: A study of the benefit of ligament reconstruction or tendon interposition

Biomechanical Comparison of Suture-Button Suspensionplasty and LRTI for Basilar Thumb Arthritis

Trapézectomie totale avec tendinoplastie de suspension et d’interposition dans le traitement de la rhizarthrose : résultats à 6,5ans de recul moyen

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