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The basal joint pain syndrome.
Clinical Orthopaedics and Related Research
|July 1, 1987
Summary
Trapeziometacarpal osteoarthritis often requires concurrent procedures due to associated hand conditions. Most patients with this condition need additional treatments, highlighting the need for a comprehensive approach to basal joint pain syndrome.
Area of Science:
- Orthopedic Surgery
- Hand Surgery
- Rheumatology
Background:
- Trapeziometacarpal (TMC) osteoarthritis frequently coexists with other hand pathologies.
- Concurrent conditions often necessitate simultaneous or staged surgical interventions.
- Optimal management requires recognizing TMC osteoarthritis as part of a broader 'basal joint pain syndrome'.
Purpose of the Study:
- To evaluate the prevalence of concomitant conditions requiring surgical treatment in patients undergoing trapezium arthroplasty.
- To identify the most common associated pathologies treated alongside TMC osteoarthritis.
- To emphasize the importance of a holistic approach to basal joint pain syndrome.
Main Methods:
- Retrospective review of 100 trapezium arthroplasties.
- Analysis of concurrent operative procedures performed during arthroplasty.
- Documentation of prior or subsequent treatments for related conditions.
Main Results:
- 65% of patients required at least one additional operative procedure during arthroplasty.
- 75% of patients received treatment for related problems before, during, or after arthroplasty.
- Common concomitant conditions included scaphotrapezial arthritis, carpal tunnel syndrome, and thumb metacarpophalangeal joint hyperextension.
Conclusions:
- Trapeziometacarpal osteoarthritis is often part of a multifactorial 'basal joint pain syndrome'.
- A significant proportion of patients need surgical management for associated conditions.
- Comprehensive assessment and treatment are crucial for effectively managing patients with thumb base pain.