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Surgical treatment for persistent second carpometacarpal joint pain
Taku Hatta, Hitoshi Goto1, Kazuaki Sonofuchi1
1Goto Orthopedic Hand Clinic, Miyagi.
Orthopedic Reviews
|May 6, 2021
Summary
Persistent second carpometacarpal (CMC) joint pain without carpal bossing can be effectively treated with surgical stabilization. Arthrodesis of the second CMC joint led to satisfactory outcomes in most patients, improving wrist pain and function.
Area of Science:
- Orthopedics
- Hand Surgery
- Musculoskeletal Disorders
Background:
- Persistent second carpometacarpal (CMC) joint pain, distinct from carpal bossing, presents diagnostic challenges.
- Characteristic symptoms include localized tenderness, pain exacerbated by gripping or weight-bearing, and positive metacarpal stress tests.
Purpose of the Study:
- To define the clinical features of patients with persistent second CMC joint pain without bony abnormalities.
- To evaluate the effectiveness of surgical stabilization for the second CMC joint in these patients.
Main Methods:
- Eleven patients with persistent second CMC joint pain underwent surgical stabilization via arthrodesis.
- Radiological confirmation of joint fusion and clinical assessment of outcomes were performed.
Main Results:
- All eleven patients achieved radiologically confirmed fusion of the second CMC joint.
- Ten out of eleven patients reported satisfactory clinical outcomes, with one experiencing residual pain and limited motion.
Conclusions:
- Careful assessment is crucial for patients with persistent second CMC joint pain without carpal bossing.
- Surgical stabilization of the second CMC joint is a viable treatment option when conservative measures fail.
