Arthroscopic Management of Thumb Carpometacarpal Joint Arthritis

Clara Wing-Yee Wong; Pak-Cheong Ho

doi:10.1016/j.hcl.2017.07.007

Arthroscopic Management of Thumb Carpometacarpal Joint Arthritis

Hand Clin. 2017 Nov;33(4):795-812. doi: 10.1016/j.hcl.2017.07.007.

Authors

Clara Wing-Yee Wong¹, Pak-Cheong Ho²

Affiliations

¹ Division of Hand and Microsurgery, Department of Orthopaedic and Traumatology, Prince of Wales Hospital, Chinese University of Hong Kong, 16/F, The Club Lusitano, 16 Ice House Street, Central, Hong Kong SAR. Electronic address: clarawong@ort.cuhk.edu.hk.
² Division of Hand and Microsurgery, Department of Orthopaedic and Traumatology, Prince of Wales Hospital, Chinese University of Hong Kong, 5F, Lui Che Woo Clinical Sciences Building, 30-32 Ngan Shing Street, Shatin, NT, Hong Kong SAR.

PMID: 28991590
DOI: 10.1016/j.hcl.2017.07.007

Abstract

The thumb carpometacarpal joint (CMCJ1) is born to have good freedom of motion. However, the excellent mobility at this joint also predisposes attenuation of capsuloligamentous structures, joint incongruity, instability, and osteoarthritis. The prevalence of radiographic CMCJ1 arthritis is high. There is no single ideal surgery for all stages of CMCJ1 arthritis, and for all kinds of patients. The arthroscopic approach seems to provide a better alternative with rewarding preliminary results. It includes arthroscopic synovectomy/debridement/thermal shrinkage, arthroscopic partial trapeziectomy and suture button suspensionplasty, and arthroscopic CMCJ1 excision/suture button suspensionplasty/K-wire fixation.

Keywords: Arthroscopy; Suture button suspensionplasty; Thumb basal joint arthritis; Thumb carpometacarpal joint.

Publication types

Review

MeSH terms

Arthroscopy*
Carpometacarpal Joints / surgery*
Humans
Orthopedic Procedures
Osteoarthritis / surgery*
Prevalence
Trapezium Bone / surgery