Download PDF
Semin Musculoskelet Radiol 2019; 23(02): 151-161
DOI: 10.1055/s-0038-1677464
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Radiologic Update on Arthroplasties in the Wrist and Hand

Jonelle M. Petscavage-Thomas
1   Department of Radiology, Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania
,
Cristy Gustas-French
1   Department of Radiology, Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania
,
Eric A. Walker
1   Department of Radiology, Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania
› Author Affiliations
Further Information

Publication History

Publication Date:
29 March 2019 (online)

Also available at
    Permissions and Reprints

Abstract

Arthritis involving the hand and wrist can significantly impair functions of daily living. Although arthrodesis provides pain relief, it limits range of motion at the affected joint. Arthroplasty is an alternative surgical treatment for hand and wrist arthritis, providing both pain relief and restoration of a range of motion. Over the past decade, several advances have occurred in hand and wrist arthroplasty designs. This article reviews component design, normal imaging appearance, and common complications of arthroplasty used in the wrist and hand. It also introduces readers to newer arthroplasty designs.

Keywords

wrist - arthroplasty - distal radioulnar joint - ligament reconstruction tendon interposition - suspensionplasty
 

  • References

  • 1 Kloppenburg M, Kwok WY. Hand osteoarthritis—a heterogeneous disorder. Nat Rev Rheumatol 2011; 8 (01) 22-31
    PubMedGoogle Scholar
  • 2 Melamed E, Marascalchi B, Hinds RM, Rizzo M, Capo JT. Trends in the utilization of total wrist arthroplasty versus wrist fusion for treatment of advanced wrist arthritis. J Wrist Surg 2016; 5 (03) 211-216
    Article in Thieme ConnectPubMedGoogle Scholar
  • 3 Yeoh D, Tourret L. Total wrist arthroplasty: a systematic review of the evidence from the last 5 years. J Hand Surg Eur Vol 2015; 40 (05) 458-468
    CrossrefPubMedGoogle Scholar
  • 4 Brinkhorst ME, Selles RW, Dias JJ. , et al. Results of the universal 2 prosthesis in noninflammatory osteoarthritic wrists. J Wrist Surg 2018; 7 (02) 121-126
    Article in Thieme ConnectPubMedGoogle Scholar
  • 5 Pfanner S, Munz G, Guidi G, Ceruso M. Universal 2 wrist arthroplasty in rheumatoid arthritis. J Wrist Surg 2017; 6: 206-215
    Article in Thieme ConnectPubMedGoogle Scholar
  • 6 Cavaliere CM, Chung KC. A systematic review of total wrist arthroplasty compared with total wrist arthrodesis for rheumatoid arthritis. Plast Reconstr Surg 2008; 122 (03) 813-825
    CrossrefPubMedGoogle Scholar
  • 7 Swanson AB. Implant arthroplasty for disabilities of the distal radioulnar joint. Use of a silicone rubber capping implant following resection of the ulnar head. Orthop Clin North Am 1973; 4 (02) 373-382
    CrossrefPubMedGoogle Scholar
  • 8 Srnec JJ, Wagner ER, Rizzo M. Total wrist arthroplasty. JBJS Rev 2018; 6 (06) e9
    PubMedGoogle Scholar
  • 9 Menon J. Universal Total Wrist Implant: experience with a carpal component fixed with three screws. J Arthroplasty 1998; 13 (05) 515-523
    CrossrefPubMedGoogle Scholar
  • 10 Boeckstyns ME, Herzberg G. Periprosthetic osteolysis after total wrist arthroplasty. J Wrist Surg 2014; 3 (02) 101-106
    Article in Thieme ConnectPubMedGoogle Scholar
  • 11 Ferreres A, Lluch A, Del Valle M. Universal total wrist arthroplasty: midterm follow-up study. J Hand Surg Am 2011; 36 (06) 967-973
    CrossrefPubMedGoogle Scholar
  • 12 Wagner ER, Srnec JJ, Mehrotra K, Rizzo M. What are the risk factors and complications associated with intraoperative and postoperative fractures in total wrist arthroplasty?. Clin Orthop Relat Res 2017; 475 (11) 2694-2700
    CrossrefPubMedGoogle Scholar
  • 13 Adams BD. Complications of wrist arthroplasty. Hand Clin 2010; 26 (02) 213-220
    CrossrefPubMedGoogle Scholar
  • 14 Gaspar MP, Lou J, Kane PM, Jacoby SM, Osterman AL, Culp RW. Complications following partial and total wrist arthroplasty: a single-center retrospective review. J Hand Surg Am 2016; 41 (01) 47-53.e4
    CrossrefPubMedGoogle Scholar
  • 15 Cooney W, Manuel J, Froelich J, Rizzo M. Total wrist replacement: a retrospective comparative study. J Wrist Surg 2012; 1 (02) 165-172
    Article in Thieme ConnectPubMedGoogle Scholar
  • 16 Harlingen Dv, Heesterbeek PJ. , J de Vos M. High rate of complications and radiographic loosening of the biaxial total wrist arthroplasty in rheumatoid arthritis: 32 wrists followed for 6 (5–8) years. Acta Orthop 2011; 82 (06) 721-726
    CrossrefPubMedGoogle Scholar
  • 17 Boyer JS, Adams B. Distal radius hemiarthroplasty combined with proximal row carpectomy: case report. Iowa Orthop J 2010; 30: 168-173
    PubMedGoogle Scholar
  • 18 Culp RW, Bachoura A, Gelman SE, Jacoby SM. Proximal row carpectomy combined with wrist hemiarthroplasty. J Wrist Surg 2012; 1 (01) 39-46
    Article in Thieme ConnectPubMedGoogle Scholar
  • 19 Halim A, Weiss AC. Total wrist arthroplasty. J Hand Surg Am 2017; 42 (03) 198-209
    CrossrefPubMedGoogle Scholar
  • 20 Shaaban H, Giakas G, Bolton M, Williams R, Scheker LR, Lees VC. The distal radioulnar joint as a load-bearing mechanism—a biomechanical study. J Hand Surg Am 2004; 29 (01) 85-95
    PubMedGoogle Scholar
  • 21 Darrach W. Partial excision of lower shaft of ulna for deformity following Colles's fracture. 1913. Clin Orthop Relat Res 1992; (275) 3-4
    PubMedGoogle Scholar
  • 22 Bowers WH. Distal radioulnar joint arthroplasty: the hemiresection-interposition technique. J Hand Surg Am 1985; 10 (02) 169-178
    PubMedGoogle Scholar
  • 23 Sebastin SJ, Larson BP, Chung KC. History and evolution of the Sauvé-Kapandji procedure. J Hand Surg Am 2012; 37 (09) 1895-1902
    CrossrefPubMedGoogle Scholar
  • 24 Bell MJ, Hill RJ, McMurtry RY. Ulnar impingement syndrome. J Bone Joint Surg Br 1985; 67 (01) 126-129
    PubMedGoogle Scholar
  • 25 Sauerbier M, Berger RA, Fujita M, Hahn ME. Radioulnar convergence after distal ulnar resection: mechanical performance of two commonly used soft tissue stabilizing procedures. Acta Orthop Scand 2003; 74 (04) 420-428
    CrossrefPubMedGoogle Scholar
  • 26 Sauerbier M, Hahn ME, Fujita M, Neale PG, Berglund LJ, Berger RA. Analysis of dynamic distal radioulnar convergence after ulnar head resection and endoprosthesis implantation. J Hand Surg Am 2002; 27 (03) 425-434
    CrossrefPubMedGoogle Scholar
  • 27 Masaoka S, Longsworth SH, Werner FW, Short WH, Green JK. Biomechanical analysis of two ulnar head prostheses. J Hand Surg Am 2002; 27 (05) 845-853
    CrossrefPubMedGoogle Scholar
  • 28 Berger RA, Cooney III WP. Use of an ulnar head endoprosthesis for treatment of an unstable distal ulnar resection: review of mechanics, indications, and surgical technique. Hand Clin 2005; 21 (04) 603-620 , vii
    CrossrefPubMedGoogle Scholar
  • 29 Sauerbier M, Arsalan-Werner A, Enderle E, Vetter M, Vonier D. Ulnar head replacement and related biomechanics. J Wrist Surg 2013; 2: 27-32
    Article in Thieme ConnectPubMedGoogle Scholar
  • 30 Berger RA. Implant arthroplasty for treatment of ulnar head resection-related instability. Hand Clin 2013; 29 (01) 103-111
    CrossrefPubMedGoogle Scholar
  • 31 Moulton LS, Giddins GEB. Distal radio-ulnar implant arthroplasty: a systematic review. J Hand Surg Eur Vol 2017; 42 (08) 827-838
    CrossrefPubMedGoogle Scholar
  • 32 Adams BD, Gaffey JL. Non-constrained implant arthroplasty for the distal radioulnar joint. J Hand Surg Eur Vol 2017; 42 (04) 415-421
    CrossrefPubMedGoogle Scholar
  • 33 Herzberg G. Periprosthetic bone resorption and sigmoid notch erosion around ulnar head implants: a concern?. Hand Clin 2010; 26 (04) 573-577
    CrossrefPubMedGoogle Scholar
  • 34 Willis AA, Berger RA, Cooney III WP. Arthroplasty of the distal radioulnar joint using a new ulnar head endoprosthesis: preliminary report. J Hand Surg Am 2007; 32 (02) 177-189
    CrossrefPubMedGoogle Scholar
  • 35 van Schoonhoven J, Fernandez DL, Bowers WH, Herbert TJ. Salvage of failed resection arthroplasties of the distal radioulnar joint using a new ulnar head prosthesis. J Hand Surg Am 2000; 25 (03) 438-446
    CrossrefPubMedGoogle Scholar
  • 36 Warwick D, Shyamalan G, Balabanidou E. Indications and early to mid-term results of ulnar head replacement. Ann R Coll Surg Engl 2013; 95 (06) 427-432
    CrossrefPubMedGoogle Scholar
  • 37 Scheker LR. Implant arthroplasty for the distal radioulnar joint. J Hand Surg Am 2008; 33 (09) 1639-1644
    CrossrefPubMedGoogle Scholar
  • 38 Bellevue KD, Thayer MK, Pouliot M, Huang JI, Hanel DP. Complications of semiconstrained distal radioulnar joint arthroplasty. J Hand Surg Am 2018; 43 (06) 566.e1-566.e9
    CrossrefPubMedGoogle Scholar
  • 39 Savvidou C, Murphy E, Mailhot E, Jacob S, Scheker LR. Semiconstrained distal radioulnar joint prosthesis. J Wrist Surg 2013; 2 (01) 41-48
    Article in Thieme ConnectPubMedGoogle Scholar
  • 40 Brannan PS, Ward WA, Gaston GR. , et al. 2 year clinical and radiographic outcomes of Aptis distal radioulnar joint arthroplasty. American Association for Hand Surgery 2018 eposter. Available at: http://meeting.handsurgery.org/abstracts/2018/EP34.cgi
    PubMedGoogle Scholar
  • 41 Galvis EJ, Pessa J, Scheker LR. Total joint arthroplasty of the distal radioulnar joint for rheumatoid arthritis. J Hand Surg Am 2014; 39 (09) 1699-1704
    CrossrefPubMedGoogle Scholar
  • 42 Reissner L, Böttger K, Klein HJ, Calcagni M, Giesen T. Midterm results of semiconstrained distal radioulnar joint arthroplasty and analysis of complications. J Wrist Surg 2016; 5 (04) 290-296
    Article in Thieme ConnectPubMedGoogle Scholar
  • 43 Gillis J, Calder K, Williams J. Review of thumb carpometacarpal arthritis classification, treatment and outcomes. Can J Plast Surg 2011; 19 (04) 134-138
    CrossrefPubMedGoogle Scholar
  • 44 Cooney III WP, Lucca MJ, Chao EY, Linscheid RL. The kinesiology of the thumb trapeziometacarpal joint. J Bone Joint Surg Am 1981; 63 (09) 1371-1381
    CrossrefPubMedGoogle Scholar
  • 45 Khorashadi L, Ha AS, Chew FS. Radiologic guide to surgical treatment of first carpometacarpal joint osteoarthritis. AJR Am J Roentgenol 2012; 198 (05) 1152-1160
    CrossrefPubMedGoogle Scholar
  • 46 Pellegrini Jr VD. Osteoarthritis at the base of the thumb. Orthop Clin North Am 1992; 23 (01) 83-102
    CrossrefPubMedGoogle Scholar
  • 47 Melville DM, Taljanovic MS, Scalcione LR. , et al. Imaging and management of thumb carpometacarpal joint osteoarthritis. Skeletal Radiol 2015; 44 (02) 165-177
    CrossrefPubMedGoogle Scholar
  • 48 Van Heest AE, Kallemeier P. Thumb carpal metacarpal arthritis. J Am Acad Orthop Surg 2008; 16 (03) 140-151
    CrossrefPubMedGoogle Scholar
  • 49 Eaton RG, Glickel SZ. Trapeziometacarpal osteoarthritis. Staging as a rationale for treatment. Hand Clin 1987; 3 (04) 455-471
    CrossrefPubMedGoogle Scholar
  • 50 Badia A. Arthroscopy of the trapeziometacarpal and metacarpophalangeal joints. J Hand Surg Am 2007; 32 (05) 707-724
    CrossrefPubMedGoogle Scholar
  • 51 Eaton RG, Littler JW. Ligament reconstruction for the painful thumb carpometacarpal joint. J Bone Joint Surg Am 1973; 55 (08) 1655-1666
    CrossrefPubMedGoogle Scholar
  • 52 Freedman DM, Eaton RG, Glickel SZ. Long-term results of volar ligament reconstruction for symptomatic basal joint laxity. J Hand Surg Am 2000; 25 (02) 297-304
    CrossrefPubMedGoogle Scholar
  • 53 Froimson AI. Tendon arthroplasty of the trapeziometacarpal joint. Clin Orthop Relat Res 1970; 70 (70) 191-199
    PubMedGoogle Scholar
  • 54 Burton RI, Pellegrini Jr VD. Surgical management of basal joint arthritis of the thumb. Part II. Ligament reconstruction with tendon interposition arthroplasty. J Hand Surg Am 1986; 11 (03) 324-332
    CrossrefPubMedGoogle Scholar
  • 55 Matullo KS, Ilyas A, Thoder JJ. CMC arthroplasty of the thumb: a review. Hand (N Y) 2007; 2 (04) 232-239
    CrossrefPubMedGoogle Scholar
  • 56 Yao J, Lashgari D. Thumb basal joint: Utilizing new technology for the treatment of a common problem. J Hand Ther 2014; 27 (02) 127-132 ; quiz 133
    CrossrefPubMedGoogle Scholar
  • 57 Trumble TE, Rafijah G, Gilbert M, Allan CH, North E, McCallister WV. Thumb trapeziometacarpal joint arthritis: partial trapeziectomy with ligament reconstruction and interposition costochondral allograft. J Hand Surg Am 2000; 25 (01) 61-76
    PubMedGoogle Scholar
  • 58 Thompson JS. Surgical treatment of trapeziometacarpal arthrosis. Adv Orthop Surg 1986; 10: 105
    PubMedGoogle Scholar
  • 59 Bengezi O, Vo A. Early outcomes of arthroplasty of the first carpometacarpal joint using pyrocarbon spherical implants. Plast Surg (Oakv) 2014; 22 (02) 79-82
    CrossrefPubMedGoogle Scholar
  • 60 Chang EY, Chung KC. Outcomes of trapeziectomy with a modified abductor pollicis longus suspension arthroplasty for the treatment of thumb carpometacarpal joint osteoarthritis. Plast Reconstr Surg 2008; 122 (02) 505-515
    CrossrefPubMedGoogle Scholar
  • 61 Srnec JJ, Wagner ER, Rizzo M. Implant arthroplasty for proximal interphalangeal, metacarpophalangeal, and trapeziometacarpal joint degeneration. J Hand Surg Am 2017; 42 (10) 817-825
    CrossrefPubMedGoogle Scholar
  • 62 Swanson AB, Maupin BK, Gajjar NV, Swanson GD. Flexible implant arthroplasty in the proximal interphalangeal joint of the hand. J Hand Surg Am 1985; 10 (6 Pt 1): 796-805
    CrossrefPubMedGoogle Scholar
  • 63 Pellegrini Jr VD, Burton RI. Osteoarthritis of the proximal interphalangeal joint of the hand: arthroplasty or fusion?. J Hand Surg Am 1990; 15 (02) 194-209
    CrossrefPubMedGoogle Scholar
  • 64 Linscheid RL, Murray PM, Vidal MA, Beckenbaugh RD. Development of a surface replacement arthroplasty for proximal interphalangeal joints. J Hand Surg Am 1997; 22 (02) 286-298
    CrossrefPubMedGoogle Scholar
  • 65 Jennings CD, Livingstone DP. Surface replacement arthroplasty of the proximal interphalangeal joint using the PIP-SRA implant: results, complications, and revisions. J Hand Surg Am 2008; 33 (09) 1565.e1-1565.e11
    CrossrefPubMedGoogle Scholar
  • 66 Petscavage JM, Ha AS, Chew FS. Arthroplasty of the hand: radiographic outcomes of pyrolytic carbon proximal interphalangeal and metacarpophalangeal joint replacements. AJR Am J Roentgenol 2011; 197 (05) 1177-1181
    CrossrefPubMedGoogle Scholar
  • 67 Sweets TM, Stern PJ. Proximal interphalangeal joint prosthetic arthroplasty. J Hand Surg Am 2010; 35 (07) 1190-1193
    CrossrefPubMedGoogle Scholar
  • 68 Wagner ER, Weston JT, Houdek MT, Luo TD, Moran SL, Rizzo M. Medium-term outcomes with pyrocarbon proximal interphalangeal arthroplasty: a study of 170 consecutive arthroplasties. J Hand Surg Am 2018; 43 (09) 797-805
    CrossrefPubMedGoogle Scholar