scholarly journals Trapezium Fracture Associated with Thumb Carpometacarpal Joint Dislocation: A Report of Three Cases and Literature Review

2018 ◽  
Vol 2018 ◽  
pp. 1-9
Author(s):  
Sho Kohyama ◽  
Toshikazu Tanaka ◽  
Akira Ikumi ◽  
Yasukazu Totoki ◽  
Kosuke Okuno ◽  
...  
Keyword(s):  
Carpometacarpal Joint ◽  
Ligament Injuries ◽  
Short Term ◽  
Joint Dislocation ◽  
Thumb Carpometacarpal Joint ◽  
Trapezium Fracture ◽  
Thumb Carpometacarpal ◽  
Treatment Consensus ◽  
Cmc Joint

Isolated trapezium fracture in combination with thumb carpometacarpal (CMC) joint dislocation is extremely rare, and no treatment consensus exists. Herein, we report 3 successfully treated cases of isolated trapezium fracture with thumb CMC joint dislocation. While good short-term results have been reported in the literature, the possibility of substantial ligament injuries that can lead to future instability of the thumb CMC joint must be noted. In order to obtain an excellent long-term clinical result, we propose the consideration of the anatomical repair of the CMC joint in terms of both bony and ligamentous structures in cases where instability remains after fracture fixation.

Simulated Osteotomy of the Trapezium Reduces Radial Subluxation and Improves Contact Pressure Distribution Across the Thumb Carpometacarpal Joint in Lateral Pinch

2010 ◽  
Author(s):  
Deana Mercer ◽  
Christina Salas ◽  
James Love ◽  
Letitia Lansing ◽  
Amanda Medoro ◽  
...  
Keyword(s):  
Joint Laxity ◽  
Carpometacarpal Joint ◽  
Contact Pressure Distribution ◽  
Thumb Carpometacarpal Joint ◽  
Thumb Carpometacarpal ◽  
Long Term Impact ◽  
Flexion And Extension ◽  
Cmc Joint ◽  
Over Time

Joint laxity and radial subluxation of the metacarpal on the trapezium have been associated with arthritis of the carpometacarpal (CMC) joint of the thumb. In normal flexion and extension of the thumb, the ligaments and the joint are minimally stressed. However, in opposition and lateral pinch (key pinch), the two surfaces rotate on each other, generating an unequal surface stress. Over time, the unequal stresses lead to an asymmetrical wear pattern. This leads to increased strain on the ligaments and may lead to subluxation over time.1 Surgical treatment of early arthritis of the CMC joint includes ligament reconstruction or first metacarpal extension osteotomy to decrease joint laxity. Once laxity exists, joint degeneration is accelerated.2 The long-term impact of painful CMC arthritis on activities of daily living can be debilitating.

Thumb carpometacarpal joint total arthroplasty: a systematic review

2015 ◽  
Vol 40 (4) ◽  
pp. 338-350 ◽  
Author(s):  
K. Huang ◽  
N. Hollevoet ◽  
G. Giddins
Keyword(s):  
Systematic Review ◽  
Carpometacarpal Joint ◽  
Long Term Outcomes ◽  
Short Term ◽  
Thumb Carpometacarpal Joint ◽  
Published Evidence ◽  
Total Arthroplasty ◽  
Thumb Carpometacarpal ◽  
Better Than

Thumb carpometacarpal joint total arthroplasty has been undertaken for many years. The proponents believe the short-term outcomes are better than trapeziectomy and its variants, but the longer term complications are often higher. This systematic review of all peer reviewed articles on thumb carpometacarpal joint total arthroplasty for osteoarthritis shows that there are reports of many implants. Some are no longer available. The reported outcomes are very variable: for some there are good long-term outcomes to beyond 10 years; for others there are unacceptably high early rates of failure. Overall the published evidence does not show that total arthroplasty is better than trapeziectomy and its variants yet there is a higher complication rate and significant extra cost of using an implant. Future research needs to compare total arthroplasty with trapeziectomy to assess short term results where the arthroplasties may be better, long-term outcomes and the healthcare and personal costs so that surgeons and patients can make fully informed choices about the treatment of symptomatic thumb carpometacarpal joint osteoarthritis.

scholarly journals Isolated thumb carpometacarpal joint dislocation: a case report and review of the literature

2010 ◽  
Vol 5 (1) ◽  
Author(s):  
Elias Fotiadis ◽  
Theodoros Svarnas ◽  
Christos Lyrtzis ◽  
Alexis Papadopoulos ◽  
Panagiotis Akritopoulos ◽  
...  
Keyword(s):  
Case Report ◽  
Review Of The Literature ◽  
Carpometacarpal Joint ◽  
Joint Dislocation ◽  
Thumb Carpometacarpal Joint ◽  
Thumb Carpometacarpal

Results of 115 Rubis II reverse thumb carpometacarpal joint prostheses with a mean follow-up of 10 years

2017 ◽  
Vol 42 (6) ◽  
pp. 592-598 ◽  
Author(s):  
M. Dehl ◽  
M. Chelli ◽  
S. Lippmann ◽  
S. Benaissa ◽  
V. Rotari ◽  
...  
Keyword(s):  
Clinical Results ◽  
Carpometacarpal Joint ◽  
Level Of Evidence ◽  
Thumb Carpometacarpal Joint ◽  
The Mean ◽  
Thumb Carpometacarpal ◽  
Joint Prostheses ◽  
Clinical And Radiological Results

The aim of this study was to assess the clinical and radiological results of the Rubis II thumb carpometacarpal joint reverse prosthesis, at a mean follow-up of 10 years. Between 1997 and 2008, 253 prostheses were implanted in 199 patients; 115 were reviewed. The survival after a mean of 10 years was 89%. At the last follow-up, 70% of prostheses were painless; the others reported moderate or intermittent pain. The satisfaction rate was 98%. The mean opposition was 9 on the Kapandji scale; the mean QuickDASH score was 30. Wrist, key and tip pinch strengths were comparable with the non-operated side. Of the 115 implants, one was radiologically loose (1%) and 15 had suffered dislocations (13%), 12 of which were caused by an injury. Eleven thumbs had revision surgery. This study confirms that the good clinical results of the Rubis II prosthesis are maintained in the medium and long term, and represents a useful alternative to trapeziectomy for selected patients. Level of evidence: IV

Ligament reconstruction for the painful thumb carpometacarpal joint: A long-term assessment

1984 ◽  
Vol 9 (5) ◽  
pp. 692-699 ◽  
Author(s):  
Richard G. Eaton ◽  
Lewis B. Lane ◽  
J. William Littler ◽  
John J. Keyser
Keyword(s):  
Ligament Reconstruction ◽  
Carpometacarpal Joint ◽  
Thumb Carpometacarpal Joint ◽  
Thumb Carpometacarpal

A Device for Evaluating Laxity of the Thumb Carpometacarpal Joint

2000 ◽  
Author(s):  
Michael A. Soltz ◽  
Mathew F. Koff ◽  
Eric J. Balaguer ◽  
Robert J. Pawluk ◽  
Robert J. Strauch ◽  
...  
Keyword(s):  
Mechanical Properties ◽  
Biochemical Composition ◽  
Carpometacarpal Joint ◽  
Thumb Carpometacarpal Joint ◽  
Quantitative Measurements ◽  
Thumb Carpometacarpal ◽  
Surface Remodeling ◽  
Joint Congruence ◽  
Force Displacement

Abstract It has been proposed that ligamentous laxity promotes osteoarthritis of the thumb carpometacarpal joint. However, quantitative measurements of laxity for this joint have not been correlated with its incidence of osteoarthritis nor with other measures of degenerative changes such as joint congruence, surface remodeling, cartilage mechanical properties or biochemical composition. The goal of this study was to design and build a device for testing the laxity of the carpometacarpal joint, with the long-term aim of advancing our understanding of the etiology of osteoarthritis in this joint. This laxity tester has the ability to accurately measure the force-displacement response along the joint’s dorsal-volar, radial-ulnar, and distraction-reduction directions, as well as the torque-rotation response in pronation-supination. The compliance of the tester was evaluated and laxity curves were generated for a sample thumb carpometacarpal joint.

Effect of Extension Osteotomy of the 1st Metacarpal on Laxity of the Thumb Carpometacarpal Joint

2002 ◽  
Author(s):  
Matthew F. Koff ◽  
Niket Shrivastava ◽  
Amy E. Abbot ◽  
Benton E. Heyworth ◽  
Thomas R. Gardner ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Hand Function ◽  
Joint Stiffness ◽  
Joint Laxity ◽  
Carpometacarpal Joint ◽  
Thumb Carpometacarpal Joint ◽  
Common Solution ◽  
Clinical Literature ◽  
Thumb Carpometacarpal ◽  
Cmc Joint

Osteoarthritis (OA) of the human thumb carpometacarpal (CMC) joint is a debilitating disease. It has been proposed in the clinical literature that joint ligamentous laxity, or joint looseness, is a major etiological factor in OA of the CMC joint (Figure1) [1–4]. Previous investigations of laxity and stability of the human thumb CMC joint have been performed visually, with no quantitative measures of joint laxity recorded [5–7]. Surgical treatment has been a common solution to reduce the pain associated with CMC OA. One treatment, extension osteotomy of the 1st metacarpal, has been suggested not only to reduce the pain of OA, but also improve hand function [8], however, little is known about its biomechanical effects. A complete description of joint laxity requires that all physiological directions of motion be fully tested. A custom-designed, 4 degree of freedom tester was constructed and instrumented for displacement and load in the distraction-compression, dorsal-volar, pronation-supination, and radial-ulnar directions. The purpose of this study was to use this device to: 1) Measure the joint laxity and compliance of non-OA human thumb CMC joints and 2) Determine the effect that a simulated extension osteotomy has on joint laxity and joint stiffness. This study provides an accurate baseline for future comparisons with osteoarthritic, surgically corrected, and otherwise non-healthy CMC joints.

PALMAR SUBLUXATION OF THE THUMB CARPOMETACARPAL JOINT FOLLOWING THE MEDIAN NERVE RECURRENT BRANCH INJURY

Hand Surgery ◽  
2010 ◽  
Vol 15 (01) ◽  
pp. 53-55
Author(s):  
Tomoya Matsuhashi ◽  
Norimasa Iwasaki ◽  
Kinya Nishida ◽  
Makoto Motomiya ◽  
Akio Minami
Keyword(s):  
Median Nerve ◽  
Carpometacarpal Joint ◽  
Thumb Carpometacarpal Joint ◽  
Thumb Carpometacarpal ◽  
Cmc Joint

To our knowledge, the combination of a palmar subluxation of the thumb carpometacarpal (CMC) joint with low median nerve deficit followed by the recurrent branch injury is extremely rare. We present a case of the subluxation of the thumb CMC joint with low median nerve deficit.

scholarly journals Combination Therapy Involving Ear Cartilage Transfer and Suture-Button Suspension Arthroplasty for Symptomatic Thumb Carpometacarpal Joint Arthritis

2019 ◽  
Vol 08 (02) ◽  
pp. 157-160
Author(s):  
Satoshi Usami ◽  
Kohei Inami
Keyword(s):  
Combination Therapy ◽  
Metacarpal Bone ◽  
Joint Surface ◽  
Carpometacarpal Joint ◽  
Short Term ◽  
Thumb Carpometacarpal Joint ◽  
Suture Button ◽  
Ear Cartilage ◽  
Thumb Carpometacarpal ◽  
Joint Arthritis

AbstractWe describe the short-term outcomes of combination therapy involving ear cartilage transfer and suture-button suspension arthroplasty for the treatment of symptomatic thumb carpometacarpal joint arthritis. The concept is to reduce joint arthritis by separate independent approaches, which are renewing the damaged joint surface of the trapezium and first metacarpal bone suspension. Autologous ear cartilage is a desirable material for joint resurfacing arthroplasty without postoperative synovitis or infection, and it is expected to prevent bone impingement or recurrent joint arthritis when postoperative suture-button slack or failure unfortunately occurs.

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