Trapeziometarpal joint arthritis in the young patient

Abstract

Initial management of symptomatic trapeziometacarpal joint arthritis is generally non-operative. Though the aetiology of trapeziometacarpal arthritis remains controversial, unrecognized joint incongruity in early-stage arthritis (Eaton stage 1 or 2) is likely to lead to progression of joint degeneration. In established arthritis, salvage procedures can successfully alleviate symptoms and return of function; however the long-term outcome of these procedures has not been determined, and this is of particular concern in the younger patient. Recognition of the joint incongruity in these patients with early-stage disease can lead to measures which may prevent or delay the progression of joint degeneration. Level of evidence: V

Targeted partial arthroscopic trapeziectomy with temporary distraction: a retrospective study with 5-year follow-up

“…The management of trapeziometacarpal osteoarthritis in young, hard-working patients remains a problem, especially when considering the long term (Tham and McCombe, 2023). Trapeziectomy is a permanent but invasive solution with complications that are difficult to manage.…”