Trapeziometacarpal joint arthritis.

Area of Science:

• Orthopedics
• Hand Surgery
• Rheumatology

Background:

• Trapeziometacarpal (TM) joint arthritis is a prevalent cause of radial-sided wrist pain, particularly in women.
• Diagnosis involves history, physical examination, and radiographic assessment to stage the disease.
• Treatment is tailored to symptom severity, progressing from conservative measures to surgical intervention.

Purpose of the Study:

• To review the literature supporting various surgical treatment options for TM joint arthritis.
• To compare trapeziectomy with and without tendon interposition and ligament reconstruction.

Main Methods:

• Literature review of surgical treatments for TM joint arthritis.
• Analysis of studies comparing different surgical techniques, including trapeziectomy variations.

Main Results:

• Nonoperative treatments include NSAIDs, splinting, activity modification, and corticosteroid injections.
• Surgical interventions are considered upon failure of conservative management.
• Specific focus on comparing trapeziectomy with and without tendon interposition and ligament reconstruction.

Conclusions:

• Treatment for TM joint arthritis depends on disease stage and symptom severity.
• Various surgical options are available, with trapeziectomy being a significant consideration.
• Further research comparing specific surgical techniques like trapeziectomy with and without adjunct procedures is warranted.