Radiological Influencing Factors in the Diagnosis of Painful Habitual Instability of the Thumb Basal Joint as a Precursor of Carpometacarpal Arthritis of the Thumb—A Retrospective Study
Background: Painful habitual instability of the thumb basal joint (PHIT) is a rarely diagnosed condition that can severely impair hand function. Furthermore, it can increase the risk of developing carpometacarpal arthritis of the thumb (CMAOT). Clinical examination and radiographic imaging provide t...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-04-01
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| Series: | Journal of Personalized Medicine |
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| Online Access: | https://www.mdpi.com/2075-4426/13/5/704 |
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| author | Raimund Winter Sophie Hasiba-Pappas Lars-P. Kamolz Sebastian Tschauner Oskar Bamer Alexandru Cristian Tuca Hanna Luze Sebastian P. Nischwitz Birgit Michelitsch Herwig Friedl David Benjamin Lumenta Werner Girsch |
| author_facet | Raimund Winter Sophie Hasiba-Pappas Lars-P. Kamolz Sebastian Tschauner Oskar Bamer Alexandru Cristian Tuca Hanna Luze Sebastian P. Nischwitz Birgit Michelitsch Herwig Friedl David Benjamin Lumenta Werner Girsch |
| author_sort | Raimund Winter |
| collection | DOAJ |
| description | Background: Painful habitual instability of the thumb basal joint (PHIT) is a rarely diagnosed condition that can severely impair hand function. Furthermore, it can increase the risk of developing carpometacarpal arthritis of the thumb (CMAOT). Clinical examination and radiographic imaging provide the foundation for a correct diagnosis, but early detection is still challenging. We investigated two objective, radiographically obtainable parameters as potential risk factors for PHIT. Methods: Clinical data and radiographic images of 33 patients suffering from PHIT were collected and compared to those of 35 people serving as the control group. The two main objectives, the slope angle and the bony offset of the thumb joint, were gathered from the X-rays and statistically analyzed. Results: The analysis showed no differences between the study and the control group concerning the slope angle. Gender and the bony offset, on the other hand, had a significant influence. Female sex and higher offset values were associated with an increased risk of PHIT. Conclusions: The results of this study prove a connection between a high bony offset and PHIT. We believe this information can be valuable in early detection and will allow more efficient treatment of this condition in the future. |
| first_indexed | 2024-03-11T03:35:28Z |
| format | Article |
| id | doaj.art-65d7cecaade44a2db362524fa714dc0a |
| institution | Directory Open Access Journal |
| issn | 2075-4426 |
| language | English |
| last_indexed | 2024-03-11T03:35:28Z |
| publishDate | 2023-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Personalized Medicine |
| spelling | doaj.art-65d7cecaade44a2db362524fa714dc0a2023-11-18T02:02:56ZengMDPI AGJournal of Personalized Medicine2075-44262023-04-0113570410.3390/jpm13050704Radiological Influencing Factors in the Diagnosis of Painful Habitual Instability of the Thumb Basal Joint as a Precursor of Carpometacarpal Arthritis of the Thumb—A Retrospective StudyRaimund Winter0Sophie Hasiba-Pappas1Lars-P. Kamolz2Sebastian Tschauner3Oskar Bamer4Alexandru Cristian Tuca5Hanna Luze6Sebastian P. Nischwitz7Birgit Michelitsch8Herwig Friedl9David Benjamin Lumenta10Werner Girsch11Research Unit for Tissue Regeneration, Repair and Reconstruction, Division of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, Medical University of Graz, Auenbruggerplatz 5, A-8036 Graz, AustriaResearch Unit for Tissue Regeneration, Repair and Reconstruction, Division of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, Medical University of Graz, Auenbruggerplatz 5, A-8036 Graz, AustriaResearch Unit for Tissue Regeneration, Repair and Reconstruction, Division of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, Medical University of Graz, Auenbruggerplatz 5, A-8036 Graz, AustriaDivision of Pediatric Radiology, Department of Radiology, Medical University of Graz, A-8036 Graz, AustriaDepartment of Orthopedics and Trauma Surgery, Division of Trauma Surgery, Medical University Vienna, A-1090 Vienna, AustriaResearch Unit for Tissue Regeneration, Repair and Reconstruction, Division of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, Medical University of Graz, Auenbruggerplatz 5, A-8036 Graz, AustriaResearch Unit for Tissue Regeneration, Repair and Reconstruction, Division of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, Medical University of Graz, Auenbruggerplatz 5, A-8036 Graz, AustriaResearch Unit for Tissue Regeneration, Repair and Reconstruction, Division of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, Medical University of Graz, Auenbruggerplatz 5, A-8036 Graz, AustriaResearch Unit for Tissue Regeneration, Repair and Reconstruction, Division of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, Medical University of Graz, Auenbruggerplatz 5, A-8036 Graz, AustriaInstitute of Statistics, Graz University of Technology, Kopernikusgasse 24, A-8010 Graz, AustriaResearch Unit for Tissue Regeneration, Repair and Reconstruction, Division of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, Medical University of Graz, Auenbruggerplatz 5, A-8036 Graz, AustriaResearch Unit for Tissue Regeneration, Repair and Reconstruction, Division of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, Medical University of Graz, Auenbruggerplatz 5, A-8036 Graz, AustriaBackground: Painful habitual instability of the thumb basal joint (PHIT) is a rarely diagnosed condition that can severely impair hand function. Furthermore, it can increase the risk of developing carpometacarpal arthritis of the thumb (CMAOT). Clinical examination and radiographic imaging provide the foundation for a correct diagnosis, but early detection is still challenging. We investigated two objective, radiographically obtainable parameters as potential risk factors for PHIT. Methods: Clinical data and radiographic images of 33 patients suffering from PHIT were collected and compared to those of 35 people serving as the control group. The two main objectives, the slope angle and the bony offset of the thumb joint, were gathered from the X-rays and statistically analyzed. Results: The analysis showed no differences between the study and the control group concerning the slope angle. Gender and the bony offset, on the other hand, had a significant influence. Female sex and higher offset values were associated with an increased risk of PHIT. Conclusions: The results of this study prove a connection between a high bony offset and PHIT. We believe this information can be valuable in early detection and will allow more efficient treatment of this condition in the future.https://www.mdpi.com/2075-4426/13/5/704thumb basal joint arthritisjoint laxityCMC-1 arthritisplastic surgeryradiographic imaginghand surgery |
| spellingShingle | Raimund Winter Sophie Hasiba-Pappas Lars-P. Kamolz Sebastian Tschauner Oskar Bamer Alexandru Cristian Tuca Hanna Luze Sebastian P. Nischwitz Birgit Michelitsch Herwig Friedl David Benjamin Lumenta Werner Girsch Radiological Influencing Factors in the Diagnosis of Painful Habitual Instability of the Thumb Basal Joint as a Precursor of Carpometacarpal Arthritis of the Thumb—A Retrospective Study Journal of Personalized Medicine thumb basal joint arthritis joint laxity CMC-1 arthritis plastic surgery radiographic imaging hand surgery |
| title | Radiological Influencing Factors in the Diagnosis of Painful Habitual Instability of the Thumb Basal Joint as a Precursor of Carpometacarpal Arthritis of the Thumb—A Retrospective Study |
| title_full | Radiological Influencing Factors in the Diagnosis of Painful Habitual Instability of the Thumb Basal Joint as a Precursor of Carpometacarpal Arthritis of the Thumb—A Retrospective Study |
| title_fullStr | Radiological Influencing Factors in the Diagnosis of Painful Habitual Instability of the Thumb Basal Joint as a Precursor of Carpometacarpal Arthritis of the Thumb—A Retrospective Study |
| title_full_unstemmed | Radiological Influencing Factors in the Diagnosis of Painful Habitual Instability of the Thumb Basal Joint as a Precursor of Carpometacarpal Arthritis of the Thumb—A Retrospective Study |
| title_short | Radiological Influencing Factors in the Diagnosis of Painful Habitual Instability of the Thumb Basal Joint as a Precursor of Carpometacarpal Arthritis of the Thumb—A Retrospective Study |
| title_sort | radiological influencing factors in the diagnosis of painful habitual instability of the thumb basal joint as a precursor of carpometacarpal arthritis of the thumb a retrospective study |
| topic | thumb basal joint arthritis joint laxity CMC-1 arthritis plastic surgery radiographic imaging hand surgery |
| url | https://www.mdpi.com/2075-4426/13/5/704 |
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