Long-term follow-up of scaphoid-trapezium-trapezoid arthrodesis

A series of 19 consecutive patients who underwent scaphoid-trapezium-trapezoid arthrodesis for chronic scapholunate instability or isolated arthrosis was reviewed. The average follow-up of 14 patients was 62 months. Eight of these 14 patients had significant residual symptoms and/or functional limit …

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Revision of Thumb Trapeziometacarpal Arthroplasty

Mechanical pain included contact of the thumb metacarpal with the residual trapezium (if present), trapezoid, or scaphoid. 17,20-22 Motion was recorded in degrees with a goniometer at the base of the thumb as full …

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A retrospective multicenter study of the Artelon® …

Approximately 2 mm of the distal aspect of the trapezium is resected and the dorsal surfaces of the trapezium and first metacarpal base are abraded to obtain bleeding bone, facilitating ingrowth under the wings. ... residual trapezium and distal pole of the scaphoid." In the fourth patient undergoing explant (between visits 2 and 3), the ...

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Surgical Options for Failed Thumb Basal Joint Arthroplasty

The residual trapezium and arthrodesis site are exposed by sharp reflection of the remaining capsule from the metacarpal base proximally to the scaphotrapezial and scaphotrapezoidal joints. The arthrodesis site is cut and the residual trapezium is then fractured longitudinally into multiple pieces using an osteotome. The fragments are then ...

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Does trapezium remodeling correlate with cup shape?

Firstly, subsidence was defined as the difference in ratio of cup height to trapezium height between the 2 time points (Fig. 2). Secondly, we inspected the cups for progressive tilting. Thirdly, on radiographs taken 2 weeks postoperatively, the size of any residual calcification was measured in millimeters relative to the distal rim of the cup.

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Revision of Thumb Trapeziometacarpal Arthroplasty

Mechanical pain included contact of the thumb metacarpal with the residual trapezium (if present), trapezoid, or scaphoid. 17, 20, 21, 22 Motion was recorded in degrees with a goniometer at the base of the thumb as full extension (or radial abduction of the thumb metacarpal) and palmar abduction. Flexion was measured as the distance in ...

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Trapeziectomy information factsheet

It occurs between the thumb metacarpal (long bone) and the trapezium, which is one of the smaller bones in the wrist. The medical name for the joint is the 'first carpo-metacarpal …

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Revision procedures after trapeziometacarpal surgery

The Nugrip implant can be used when there is sufficient residual trapezium (after partial trapeziectomy) or by reaming of a cavity in the scaphoid base. If there is an irreducible collapse, interposition of the thinner Pyrocardan implant is a simple and effective solution [11], [23].

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Scaphotrapezoid arthritis: prevalence in thumbs undergoing trapezium …

Because of the potential that scaphotrapezoid arthritis may cause residual symptoms following trapezium excision arthroplasty, and in light of the low sensitivity of radiographs, routine intraoperative assessment of the joint is recommended so that proximal trapezoid excision can be performed if degenerative change is present.

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Early Treatment of Degenerative Arthritis of the Thumb Carpometacarpal

In patients with significant MCP hyperextensibility (deformities greater than 20 degrees), either fusion or capsulodesis is performed to stabilize the joint. A 0.045-in Kirschner wire is then used to pin the thumb metacarpal to the residual trapezium or scaphoid in the reduced position with slight abduction to prevent proximal migration (Fig. …

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The Uncommon Trapezium Fracture: A Case Series

Displaced fractures should be treated operatively in young active individuals because residual step-off may give a higher risk trapezio-metacarpal or scapho-trapezium-trapezoid osteoarthritis. 25 Percutaneous Kirschner's wire fixation, oblique external traction, and open reduction and internal fixation have all been reported in the literature ...

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Revision Thumb Carpometacarpal Arthroplasty

Residual osteophytes and incomplete trapezium excision are potential sources of persistent pain. Small osseous fragments are unlikely to cause pain in isolation, but if metacarpal subsidence or instability exists, …

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JPM | Free Full-Text | Proposed Radiographic Parameters to …

Purpose: Addressing trapezio-metacarpal (TMC) osteoarthritis often involves considering TMC joint replacement. Utilizing TMC prostheses offers advantages such as preserving the thumb length and more accurately replicating the thumb's range of motion (ROM). TMC prostheses have an intrinsic risk of dislocation and aseptic …

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Long-Term Results of Suture-Button …

The trapezium is released from its surrounding attachments, and a corkscrew trapeziectomy tool is inserted into it to serve as a joystick. Using a McGlammry elevator, the trapezium is excised. ...

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Journal of Hand Surgery Global Online

either side. The trapezium is released from its surrounding at-tachments, and a corkscrew trapeziectomy toolis insertedintoit to serve as a joystick. Using a McGlammry elevator, the trapezium is excised. A second incision is then made on the dorsal aspect of the second metacarpal, the dorsal branch of the dorsal radial sensory

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Surgical Options for Failed Thumb Basal Joint Arthroplasty

The residual trapezium and arthrodesis site are exposed by sharp reflection of the remaining capsule from the metacarpal base proximally to the scaphotrapezial …

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Suture-Button Suspensionplasty for the Treatment of …

of residual trapezium still present. Next, a ballottement test is performed to estab-lish a baseline level of subsidence before SB implantation. Alternating movements of pulling and compressing the thumb along the axis of the first metacarpal are visualized under spot or live fluoroscopy. The level of subsidence established

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Healing a Trapezius Strain: Exercises, Recovery Timeline

A trapezius strain is a muscle or tendon injury that limits movement and strength in the arms. It occurs when the fibers are stretched beyond their typical limit.

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Trapeziectomy: Preparation, Recovery, Long-Term Care

A trapeziectomy is a surgery used to treat trapeziometacarpal osteoarthritis, also known as thumb arthritis. Osteoarthritisis the most common form of arthritis associated with the aging-related degeneration of joints. During a trapeziectomy, the trapezium bone is removed and the …

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Proposed Radiographic Parameters to Optimize Clinical …

The Spearman correlation analysis gave the following results: negative correlations were highlighted between postoperative VAS scores and the M1/M2 ratio …

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LRTI Surgery: Procedure, Protocol, Success Rate, and

The third joint, where the metacarpal (hand) bone meets the trapezium bone of your wrist, is called the carpometacarpal (CMC) joint. The CMC is the joint most affected in thumb arthritis.

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Management of Complications of Thumb CMC Surgery: …

It is not uncommon to see residual shells of trapezium on postoperative radiographs after piecemeal resection of the trapezium. Although not all residual …

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OSTEOARTHRITIS SCAPHOTRAPEZIAL TRAPEZOID …

Scaphotrapezial trapezoidal (STT) osteoarthritis (OA) is a common degenerative disease of the wrist, specifically at the site of articulation among the scaphoid, trapezium, and trapezoid. Dorsal intercalated …

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Trapezium and Bennett Fracture – A Rare Base Thumb …

Introduction. The trapezium is a carpal bone that integrates the trapezium-metacarpal joint, a joint that plays an essential role in the grip and grasping function [].Fracture of this bone is rare, accounting for about 0.4% of hand injuries and about 3% of carpal injuries [1, 2].Most trapezium fractures are fractures with a vertical orientation at the dorsal edge or …

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Proposed Radiographic Parameters to Optimize Clinical …

distance between the centers of the trapezium distal surface and the prosthesis cup was 2.23 mm (SD ± 1.4). The Spearman correlation analysis gave the following results: negative correlations were highlighted between postoperative VAS scores and the M1/M2 ratio and residual trapezium height

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Revision of Thumb Trapeziometacarpal Arthroplasty

with the residual trapezium (if present), trapezoid, or scaphoid.17,20-22 Motion was recorded in degrees with a goniometer at the base of the thumb as full extension (or radial abduction of the thumb metacar-pal) and palmar abduction. Flexion was measured as the distance in centimeters from the head of the small

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The Uncommon Trapezium Fracture: A Case Series

An isolated trapezium fracture is a rare injury, with an incidence of 1 to 5%. 1 In our department, we diagnosed four (2.5%) trapezium fractures out of a total of 158 …

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Suture-Button Suspensionplasty for the Treatment of Thumb

Fluoroscopy is also helpful in determining the level of resection and the amount of residual trapezium still present. Next, a ballottement test is performed to establish a baseline level of subsidence before SB implantation. Alternating movements of pulling and compressing the thumb along the axis of the first metacarpal are visualized …

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The Uncommon Trapezium Fracture: A Case Series

Background Isolated trapezium fractures are rare and account for only 1 to 5% of all carpal fractures but are still the third most common carpal fracture. Trapezium fractures are hard to detect and easily missed on standard radiographs. Trapezium fractures can be treated conservatively, as well as operatively, the best treatment is still debatable.

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Proposed Radiographic Parameters to Optimize Clinical …

Pre- and postoperative systematic imaging analysis should become a method for predicting complications and guiding recovery in TMC prosthesis: CT imaging could provide us with radiographical landmarks that are intrinsically linked to clinical outcomes. Further research is necessary to fuel a protoco …

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