Surgical treatment for persistent second carpometacarpal joint pain
The purposes of this study were to demonstrate the clinical characteristics of patients with persistent second carpometacarpal (CMC) joint pain without bony abnormalities known as the carpal boss, and to assess the clinical efficacy of surgical stabilization of the second CMC joint. Eleven patients...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Open Medical Publishing
2021-03-01
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| Series: | Orthopedic Reviews |
| Subjects: | |
| Online Access: | https://www.pagepress.org/journals/index.php/or/article/view/9085 |
| _version_ | 1828942361740181504 |
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| author | Taku Hatta Hitoshi Goto Kazuaki Sonofuchi Shingo Nobuta Satoshi Toh Eiji Itoi |
| author_facet | Taku Hatta Hitoshi Goto Kazuaki Sonofuchi Shingo Nobuta Satoshi Toh Eiji Itoi |
| author_sort | Taku Hatta |
| collection | DOAJ |
| description | The purposes of this study were to demonstrate the clinical characteristics of patients with persistent second carpometacarpal (CMC) joint pain without bony abnormalities known as the carpal boss, and to assess the clinical efficacy of surgical stabilization of the second CMC joint. Eleven patients had persistent wrist pain with characteristic symptoms, including tenderness over the second CMC joint, increased symptoms when the involved hand was placed on the ground or gripped strongly with the involved hand, a positive metacarpal stress test and temporary pain relief with the intra-articular injection of the lidocaine. The patients underwent arthrodesis of the second CMC joint. All cases showed radiologically confirmed fusion of the second CMC joint. At the final followup examination, 10 of 11 patients resulted in satisfactory clinical outcomes, excepting one patient with remnant pain and restricted range of wrist motions. This report highlights the importance of conducting a careful assessment of patients who present with persistent second CMC joint pain without the bony abnormalities, such as carpal bossing. Surgery to stabilize the second CMC joint may be an option to improve their symptoms when conservative treatment fails. |
| first_indexed | 2024-12-14T03:53:50Z |
| format | Article |
| id | doaj.art-5953a03b3cff42049c8f9e7024b75e43 |
| institution | Directory Open Access Journal |
| issn | 2035-8237 2035-8164 |
| language | English |
| last_indexed | 2024-12-14T03:53:50Z |
| publishDate | 2021-03-01 |
| publisher | Open Medical Publishing |
| record_format | Article |
| series | Orthopedic Reviews |
| spelling | doaj.art-5953a03b3cff42049c8f9e7024b75e432022-12-21T23:18:08ZengOpen Medical PublishingOrthopedic Reviews2035-82372035-81642021-03-0113110.4081/or.2021.9085Surgical treatment for persistent second carpometacarpal joint painTaku Hatta0Hitoshi Goto1Kazuaki Sonofuchi2Shingo Nobuta3Satoshi Toh4Eiji Itoi5Goto Orthopedic Hand Clinic, Miyagi; Department of Orthopaedic Surgery, Tohoku Rosai Hospital; Department of Orthopaedic Surgery, Tohoku University School of MedicineGoto Orthopedic Hand Clinic, MiyagiGoto Orthopedic Hand Clinic, MiyagiDepartment of Orthopaedic Surgery, Tohoku Rosai HospitalDepartment of Orthopaedic Surgery, National Hospital Organization, Hirosaki National HospitalDepartment of Orthopaedic Surgery, Tohoku University School of MedicineThe purposes of this study were to demonstrate the clinical characteristics of patients with persistent second carpometacarpal (CMC) joint pain without bony abnormalities known as the carpal boss, and to assess the clinical efficacy of surgical stabilization of the second CMC joint. Eleven patients had persistent wrist pain with characteristic symptoms, including tenderness over the second CMC joint, increased symptoms when the involved hand was placed on the ground or gripped strongly with the involved hand, a positive metacarpal stress test and temporary pain relief with the intra-articular injection of the lidocaine. The patients underwent arthrodesis of the second CMC joint. All cases showed radiologically confirmed fusion of the second CMC joint. At the final followup examination, 10 of 11 patients resulted in satisfactory clinical outcomes, excepting one patient with remnant pain and restricted range of wrist motions. This report highlights the importance of conducting a careful assessment of patients who present with persistent second CMC joint pain without the bony abnormalities, such as carpal bossing. Surgery to stabilize the second CMC joint may be an option to improve their symptoms when conservative treatment fails.https://www.pagepress.org/journals/index.php/or/article/view/9085second carpometacarpal jointcarpal bosswrist painsurgical treatmentarthrodesis |
| spellingShingle | Taku Hatta Hitoshi Goto Kazuaki Sonofuchi Shingo Nobuta Satoshi Toh Eiji Itoi Surgical treatment for persistent second carpometacarpal joint pain Orthopedic Reviews second carpometacarpal joint carpal boss wrist pain surgical treatment arthrodesis |
| title | Surgical treatment for persistent second carpometacarpal joint pain |
| title_full | Surgical treatment for persistent second carpometacarpal joint pain |
| title_fullStr | Surgical treatment for persistent second carpometacarpal joint pain |
| title_full_unstemmed | Surgical treatment for persistent second carpometacarpal joint pain |
| title_short | Surgical treatment for persistent second carpometacarpal joint pain |
| title_sort | surgical treatment for persistent second carpometacarpal joint pain |
| topic | second carpometacarpal joint carpal boss wrist pain surgical treatment arthrodesis |
| url | https://www.pagepress.org/journals/index.php/or/article/view/9085 |
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