Volar Capsulodesis of the Thumb Metacarpophalangeal Joint at the Time of Basal Joint Arthroplasty: A Surgical Technique Using Suture Anchors

Current trends in the management of trapeziometacarpal arthritis

“…studied in conjunction with basal joint arthroplasty. 33 The procedure, involving suture anchors and joint pinning for 6 weeks to promote healing of the volar plate, improved thumb extension and range in all 14 studied patients, and although there was one case of infection and one case of pain, the authors proposed volar capsulodesis as an alternative, straightforward procedure with good results. 33 …”

The Influence of Subluxation on the Severity of Symptoms, Disability, and the Results of Operative Treatment in TMC Osteoarthritis with Total Joint Arthroplasty

“…1 The subluxation (a) measured as the radial deviation of the long axis of the first metacarp compared to the axis of the trapezium Table 1 Grip strength, pain at rest/activity (VAS (0-10)), and DASH score in 133 hands before and after trapeziometacarpal total joint arthoplasty The symptoms from TMC osteoarthritis vary and are influenced by several other factors [2]. We excluded patients with fixed hyperextension contracture of the MP joint because fixed hyperextension contracture of the MP joint remains a challenge regardless of using total joint arthroplasty or trapeziectomy [8,17] and often needs supplementary surgery to the MP joint [18][19][20]. This condition is often combined with severe subluxation of the TMC joint, and the results of our study may have been different if this patient category had been included.…”

Extensor Pollicis Brevis Spiral Tenodesis for Combined Metacarpophalangeal Instability and Trapeziometacarpal Arthritis

“…4,6 The most common procedures performed in conjunction with TMC arthroplasty have been MP fusion, MP volar capsulodesis, and sesamoid fusion. [1][2][3][4][5][6][7][8][9][10] Fusion eliminates all MP motion and may reduce interphalangeal motion. 4,10 Local capsulodesis techniques using a volar incision can produce excessive local scar tissue around the digital nerves (paresthesias and hypersensitivity) and the flexor pollicis longus (reduced MP and interphalangeal motion) as well as an initial rigid end point that ultimately fails over time.…”

“…4,10 Local capsulodesis techniques using a volar incision can produce excessive local scar tissue around the digital nerves (paresthesias and hypersensitivity) and the flexor pollicis longus (reduced MP and interphalangeal motion) as well as an initial rigid end point that ultimately fails over time. [2][3][4][5][6][7][8] Spiral tenodesis using the extensor pollicis brevis (EPB) constitutes a different approach to the prevention of MP hyperextension instability. No wound is created over the path of the digital nerves that are neither seen nor touched by an instrument in the course of the procedure.…”