J Wrist Surg 2016; 05(03): 227-232
DOI: 10.1055/s-0036-1572539
Scientific Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Arthroscopic Resection of Distal Pole of the Scaphoid for Scaphotrapeziotrapezoid Joint Arthritis: Comparison between Simple Resection and Implant Interposition

L. Pegoli
1   San Pio X Clinic, Milan, Italy
,
Alessandro Pozzi
1   San Pio X Clinic, Milan, Italy
,
G. Pivato
1   San Pio X Clinic, Milan, Italy
,
R. Luchetti
2   Rimini Center for Hand Surgery, Rimini, Italy
› Author Affiliations
Further Information

Publication History

20 December 2014

18 January 2016

Publication Date:
19 February 2016 (online)

Abstract

Background Isolated scaphotrapeziotrapezoid is a relatively rare condition, and there is still not complete consensus on the treatment of this pathology.

Purpose The aim of the present study is to assess the utility of implant interposition after arthroscopic scaphoid distal pole resection for scaphotrapeziotrapezoid arthritis.

Material and Methods The authors present a prospective study after the arthroscopic resection of the distal pole of the scaphoid in 24 patients. In a group of 11 patients, the simple resection was performed while in the other 13 patients the scaphoid resection and pyrocarbone implant interposition.

Results All patients were clinically evaluated with disability of arm, shoulder, hand score. Dorsal intercalated segment instability deformity was also measured from X-ray analysis. Grip and pinch strength were measured too, and patients were also given a visual analog scale questionnaire. Both clinical and radiographic assessments were done at 24 months postoperatively.

Conclusions The study showed comparable results with both the techniques.

Level of Evidence II A prospective comparative study.

Note

Patients were treated in San Pio X Clinic, Milan, Italy, and Rimini Center for Hand Surgery, Rimini, Italy, as well as data collection. Analysis was performed at San Pio X Clinic, Milan, Italy.


 
  • References

  • 1 Oberlin C, Daunois O, Oberlin F. L'arthrose scapho-trapézo-trapézoídienne Son retentissement sur le carpe. Annales de Chirurgie de la Main et du Membre Supérieur 1990; 9 (3) 163-167
  • 2 Parellada AJ, Morrison WB, Reiter SB , et al. Flexor carpi radialis tendinopathy: spectrum of imaging findings and association with triscaphe arthritis. Skeletal Radiol 2006; 35 (8) 572-578
  • 3 Kessler I, Baruch A, Hecht O, Amit S. Osteoarthritis at the base of the thumb. The concept of monoarticular reconstruction. Acta Orthop Scand 1976; 47 (4) 361-369
  • 4 Wollstein R, Watson HK. Scaphotrapeziotrapezoid arthrodesis for arthritis. Hand Clin 2005; 21 (4) 539-543 , vi
  • 5 Meier R, Prommersberger KJ, Krimmer H. Scapho-trapezio-trapezoid arthrodesis (triscaphe arthrodesis) [in German]. Handchir Mikrochir Plast Chir 2003; 35 (5) 323-327
  • 6 Linscheid RL, Lirette R, Dobin JH. L'artrose degenerative scaphotrapezienne. In: Saffar P, ed. La rizoarthrose (monographies du GEM). Paris: Expansion Scientifique Francaise; 1990: 185-194
  • 7 Garcia-Elias M, Lluch AL, Ferreres A. Treatment of scaphotrapeziotrapezoid arthrosisby distal scaphoid resection and capsular interposition arthroplasty. In: Saffar PH, Amadio PC, Foucher G, eds. Current Practice in Hand Surgery. United Kingdom: Martin Dunitz Ltd.; 1997: 181-185
  • 8 Da Rin F, Mathoulin C. Arthroscopic treatment of osteoarthritis of scaphotrapezotrapezoid joint [in French]. Chir Main 2006; 25 (Suppl. 01) S254-S258
  • 9 Wolf JM. Treatment of scaphotrapezio-trapezoid arthritis. Hand Clin 2008; 24 (3) 301-306 , vii
  • 10 Pequignot JP, D'asnieres de Veigy L, Allieu Y. Arthroplasty for scaphotrapeziotrapezoidal arthrosis using a pyrolytic carbon implant. Preliminary results [in French]. Chir Main 2005; 24 (3–4) 148-152 French
  • 11 Low AK, Edmunds IA. Isolated scaphotrapeziotrapezoid osteoarthritis: preliminary results of treatment using a pyrocarbon implant. Hand Surg 2007; 12 (2) 73-77
  • 12 Pegoli L, Zorli IP, Pivato G, Berto G, Pajardi G. Scaphotrapeziotrapezoid joint arthritis: a pilot study of treatment with the scaphoid trapezium pyrocarbon implant. J Hand Surg [Br] 2006; 31 (5) 569-573
  • 13 Kapandji AI. Prehension of the human hand [in French]. Ann Chir Main 1989; 8 (3) 234-241 Article in French
  • 14 Kapandji A. Clinical test of apposition and counter-apposition of the thumb [in French]. Ann Chir Main 1986; 5 (1) 67-73
  • 15 Barakat MJ, Field J, Taylor J. The range of movement of the thumb. Hand (NY) 2013; 8 (2) 179-182
  • 16 Smith DK, Gilula LA, Amadio PC. Dorsal lunate tilt (DISI configuration): sign of scaphoid fracture displacement. Radiology 1990; 176 (2) 497-499
  • 17 Baré J, Graham AJ, Tham SK. Scaphotrapezial joint arthroscopy: a palmar portal. J Hand Surg Am 2003; 28 (4) 605-609
  • 18 Moritomo H, Viegas SF, Nakamura K, Dasilva MF, Patterson RM. The scaphotrapezio-trapezoidal joint. Part 1: An anatomic and radiographic study. J Hand Surg Am 2000; 25 (5) 899-910
  • 19 Watson HK, Wollstein R, Joseph E, Manzo R, Weinzweig J, Ashmead IV D. Scaphotrapeziotrapezoid arthrodesis: a follow-up study. J Hand Surg Am 2003; 28 (3) 397-404
  • 20 Garcia-Elias M. Excisional arthroplasty for scaphotrapeziotrapezoidal osteoarthritis. J Hand Surg Am 2011; 36 (3) 516-520
  • 21 Carro LP, Golano P, Fariñas O, Cerezal L, Hidalgo C. The radial portal for scaphotrapeziotrapezoid arthroscopy. Arthroscopy 2003; 19 (5) 547-553
  • 22 Moojen TM, Snel JG, Ritt MJPF, Venema HW, Kauer JM, Bos KE. In vivo analysis of carpal kinematics and comparative review of the literature. J Hand Surg Am 2003; 28 (1) 81-87