Basal joint arthroscopy indications in first CMC joint arthritis

Area of Science:

• Orthopedic Surgery
• Upper Limb Surgery
• Arthroscopy

Background:

• Basal joint arthroscopy is an evolving technique in upper limb surgery.
• Conventional arthroscopy equipment is typically sufficient for these procedures.
• The trapeziometacarpal joint is explored via specific portals (1R, 1U, thenar).

Purpose of the Study:

• To outline the diagnostic, preventive, and therapeutic indications for basal joint arthroscopy.
• To discuss its role in managing basal joint arthritis and related conditions.
• To evaluate its effectiveness compared to traditional open surgery.

Main Methods:

• Arthroscopic exploration of the trapeziometacarpal joint.
• Utilizing standard arthroscopy equipment and specific portal placements.
• Reviewing indications for diagnostic, preventive, and therapeutic interventions.

Main Results:

• Diagnostic uses include assessing cartilage/ligament lesions and classifying osteoarthritis.
• Preventive uses involve managing fractures and dislocations to prevent instability.
• Therapeutic uses encompass debridement, ligament repair, and joint reconstruction.

Conclusions:

• Basal joint arthroscopy provides versatile applications in treating basal joint conditions.
• Clinical results appear comparable to open surgery.
• Long-term evaluation of this advanced arthroscopic technique is still necessary.