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. 2012 Nov 1;2012:273421. doi: 10.1155/2012/273421

Table 1.

Summary of the sample, intervention, and outcome measures used in included studies.

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

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

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

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

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

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

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

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

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

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

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

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

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.