Loading...
Please wait, while we are loading the content...
Similar Documents
Selective Thumb Carpometacarpal Joint Denervation for Painful Arthritis: Follow-Up of Long-Term Clinical Outcomes.
| Content Provider | Europe PMC |
|---|---|
| Author | Suresh, Visakha Frost, Christopher M. Lifchez, Scott D. |
| Copyright Year | 2022 |
| Abstract | PurposeThumb carpometacarpal (CMC) joint osteoarthritis is a common problem affecting up to 85% of patients over the age of 70. The most common presenting symptom for patients with CMC arthritis is pain with joint loading. Loss of function due to subluxation or joint destruction is comparatively rare. Carpometacarpal joint denervation is a relatively novel method for managing CMC arthritis, treating the most impactful symptom: pain.MethodsIn this paper, we present a 4- to 6-year follow-up case series on patients who underwent CMC denervation between 2015 and 2017.ResultsDenervation was safe, with less downtime than trapeziectomy with ligament reconstruction with tendon interposition and provided durable complete or partial relief of pain after 5 years in 5 of 9 patients. Four of 9 patients had recurrence of pain by 5 years. Of those with recurrent pain, 3 of 5 eventually underwent trapeziectomy with ligament reconstruction and tendon interposition; the secondary surgery occurred between 17 and 66 months after denervation.ConclusionThumb CMC denervation provides effective relief of arthritis pain that was durable at 5+ years after surgery in more than half of our initial cohort of patients treated. Prospective studies with validated patient-reported and objective outcome measures between distinct treatment arms, such as denervation versus ligament reconstruction with tendon interposition, are needed to firmly establish the role of CMC denervation for patients with symptomatic thumb CMC osteoarthritis.Type of study/level of evidenceTherapeutic/Level IV. |
| Related Links | https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC9870806&blobtype=pdf |
| Journal | Journal of Hand Surgery Global Online [J Hand Surg Glob Online] |
| Volume Number | 5 |
| DOI | 10.1016/j.jhsg.2022.02.005 |
| PubMed Central reference number | PMC9870806 |
| Issue Number | 1 |
| PubMed reference number | 36704380 |
| e-ISSN | 25895141 |
| Language | English |
| Publisher | Elsevier |
| Publisher Date | 2022-03-31 |
| Access Restriction | Open |
| Rights License | This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). © 2022 The Authors |
| Subject Keyword | Joint denervation Thumb CMC osteoarthritis |
| Content Type | Text |
| Resource Type | Article |
| Subject | Rehabilitation Orthopedics and Sports Medicine Surgery |
