Treatment of trapeziometacarpal arthritis: Results of resection arthroplasty

P. C. Dell, Thomas Brushart, R. J. Smith

Research output: Contribution to journalArticle

Abstract

Ninety-one thumbs with symptomatic trapeziometacarpal arthrosis were studied and classified by the severity of trapeziometacarpal arthrosis, as seen on the roentgenogram. Thirty-five patients with mild changes had satisfactory relief of pain after treatment with anti-inflammatory drugs and a C-splint. Operation, consisting of resection of the trapezium and shortening by 1.5 cm of the abductor pollicis longus tendon was performed on 16 thumbs. In six patients a rolled palmaris longus tendon was inserted between the metacarpal base and the scaphoid. All patients had relief of pain, improvement of pinch and grip strengh, and an increased range of thumb pronation after operation. There was no difference in the results of those patients treated with or without tendon interposition. Trapezial resection was found to be an effective means of treating patients with symptomatic trapeziometacarpal arthrosis who failed to improve with conservative care.

Original languageEnglish (US)
Pages (from-to)243-249
Number of pages7
JournalJournal of Hand Surgery
Volume3
Issue number3
StatePublished - 1978
Externally publishedYes

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Arthroplasty
Arthritis
Joint Diseases
Thumb
Tendons
Pronation
Therapeutics
Pain
Metacarpal Bones
Splints
Hand Strength
Anti-Inflammatory Agents
Pharmaceutical Preparations

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

Cite this

Treatment of trapeziometacarpal arthritis : Results of resection arthroplasty. / Dell, P. C.; Brushart, Thomas; Smith, R. J.

In: Journal of Hand Surgery, Vol. 3, No. 3, 1978, p. 243-249.

Research output: Contribution to journalArticle

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