Table 1.
Author (year) | Clinical population | Intervention | Patient-reported outcomes | Other measures |
---|---|---|---|---|
Nilsson et al. [43] | 109 adults with painful carpometacarpal OA* | Surgical implantation of Artelon carpometacarpal joint spacer | Pain VAS* DASH* questionnaire |
Strength: lateral and three-finger pinch ROM: thumb abduction |
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Bisneto et al. [44] | 20 adults with wrist OA, with a diagnosis of scapholunate advanced collapse (n = 4) or scaphoid nonunion advanced collapse (n = 16) | Proximal row carpectomy or four-corner fusion | DASH questionnaire Pain VAS |
ROM*: wrist flexion/extension, radial/ulnar deviation, pronation/supination Strength: grip, pulp-pulp, lateral, and three-finger pinch Two-point discrimination: 2nd and 5th fingers, dorsum of 1st web Hand and wrist volume Jebson-Taylor functional test |
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Ritchie and Belcher [45] | 41 adults with OA of the trapeziometacarpal joint | Trapeziectomy (anterior or posterior approach) | ADL* questionnaire (10 items relating to hand function) Hand function VAS Thumb pain VAS Power VAS Range of motion VAS Cosmesis VAS |
ROM: thumb joint including opposition, palmar abduction, and extension of trapeziometacarpal joint Strength: grip, thumb, and three-finger pinch Radiograph Scar tenderness |
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Belcher and Nicholl [46] | 36 adults (42 hands) with OA of the trapeziometacarpal joint | Trapeziectomy (with/without ligament reconstruction and tendon interposition) | ADL* questionnaire (10-items relating to hand function) Hand function VAS Thumb pain VAS Satisfaction with surgery VAS |
ROM: thumb interphalangeal, metacarpophalangeal and trapeziometacarpal joints Strength: grip, thumb and three finger pinch Radiograph |
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Horlock and Belcher [47] | 39 adults (40 hands) with OA of the 1st carpometacarpal joint | Early versus late mobilisation following simple trapeziectomy | Hand function VAS Thumb pain VAS |
ROM: interphalangeal, metacarpophalangeal and first carpometacarpal joints Strength: grip, thumb and three finger pinch Radiograph |
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Jain et al. [48] | 62 adults (84 joints) with painful OA of the trapeziometacarpal joint | Transdermal steroids | Michigan Hand Outcomes Questionnaire (MHQ) Short form 12 (SF12) Pain VAS |
ROM: thumb hyperextension Thumb adduction contractures Strength: grip, tip-to-tip, and lateral pinch |
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Fuchs et al. [49] | 56 adults with OA of the carpometacarpal joint | Intra-articular injection (sodium hyaluronate) | Pain VAS | Heat, swelling, and crepitations under palpation Strength: lateral and pulp pinch ROM: radial and palmar abduction/adduction, opposition |
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Davis et al. [50] | 162 women (183 thumbs) with OA of the trapeziometacarpal joint | Trapeziectomy | — | Subjective measures of: thumb pain, stiffness, and restriction of ADLs Strength: grip, tip-to-tip and lateral pinch ROM: thumb joint, palmar and radial abduction, opposition, and hyperextension |
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Kriegs-Au et al. [51] | 43 adults (53 thumbs) with OA of the thumb carpometacarpal joint | Trapeziectomy with ligament reconstruction (with/without tendon interposition) | Questionnaires relating to pain, strength, daily function, dexterity, cosmetic appearance, willingness to undergo similar surgery, and satisfaction with surgery 10-item questionnaire relating to functional tasks |
Buck-Gramcko score ROM: Palmar and radial abduction, opposition, and hyperextension Strength: grip and tip pinch Radiograph |
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Weiss et al. [52] | 25 adults with OA of the carpometacarpal joint | Custom-made short opponens thermoplastic or prefabricated short neoprene splints | Pain severity/duration VAS Tip pinch pain VAS 22-item ADLs questionnaire Splint rating VAS |
Strength: Tip pinch Radiograph |
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Field et al. [53] | 65 adults with OA of the carpometacarpal joint | Trapeziectomy (with or without flexor carpi radialis suspension) | Pain VAS | ROM: thumb joint, radial, and palmer abduction, 1st web space span Strength: grip, three-finger and, tip pinch Radiograph Procedure satisfaction |
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De Smet et al. [54] | 56 females with painful OA of the 1st carpometacarpal joint | Trapeziectomy (with or without tendon interposition/ligament reconstruction) | Pain VAS Pain relief questionnaire DASH questionnaire Functional outcome questionnaire |
ROM: all thumb joints, web angle Strength: grip and three-finger pinch Radiograph |
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Davis and Pace [55] | 113 adults (133 thumbs) with OA of the trapeziometacarpal joint | Trapeziectomy: with ligament reconstruction, tendon interposition, and Kirschner wire insertion followed by splintage or with no Kirschner wire and immobilisation in a soft bandage | Patient Evaluation Measure (PEM) DASH questionnaire |
Thumb pain, strength, and stiffness ROM: trapeziometacarpal joint extension, palmar abduction, opposition, and metacarpophalangeal hyperextension Strength: grip, three-finger, and tip pinch |
*Abbreviations: OA: osteoarthritis, DASH: disabilities of the arm, shoulder and hand questionnaire, VAS: visual analogue scale, ROM: range of motion.