ISSN 2458-7834
 

Original Article 


Osteoarthritis of the first carpometacarpal joint – Patients’ subjective symptoms related to surgical outcome

Hedvig Arnberg, Jack Besjakov, Niels Thomsen, Emma Dahlin, Lars B. Dahlin.

Cited by (1)

Abstract
Objectives: Osteoarthritis (OA) of the first carpometacarpal joint (CMC 1) is common and prevalence increases with age. Pain and disability impair daily life activities. The aim was 1) to evaluate outcome, with special interest in patient-rated functional outcome measures with the Quick Disability of Arm, Shoulder and Hand questionnaire (QuickDASH) after primary surgical treatment with ligament reconstruction and tendon interposition (LRTI) due to OA and 2) to clarify remaining postoperative symptoms, adverse effects and costs for treatment.
Methods: In the retrospective study, 54 patients (55 primary surgeries; response rate 33/54 patients, 61%; 33/55 surgeries, (60%) were reviewed with QuickDASH preoperatively and after one year. Data were also obtained from the patients' declaration of health and patient folders.
Results: Surgery resulted in reduced QuickDASH score [from 52 (42-72) to 34 (13-51), p=0.0001]. Twenty-eight (85%) surgeries out of 33 were dismissed from outpatient care at a final follow-up visit within one year [median rehabilitation period 111 (67-179) days]. Nineteen (68%) out of these 28 patients still suffered from symptoms or adverse effects at the last visit, mostly related to pain. No differences were found between smokers and non-smokers. The five patients, not concluded within one year, required further conservative treatment and/or surgical procedures due to various symptoms. Total median costs for treatment were US$ 3436 (3147-3949) [€ 2593 (2374-2979)].
Conclusions: Patients with OA of the CMC 1 joint benefit from surgery, but the procedure is associated with lengthy rehabilitation
and persisting postoperative symptoms; meticulous preoperative information should be provided to patients.

Key words: CMC1 joint, interposition arthroplasty, LRTI, osteoarthritis, QuickDASH, thumb base, trapezium excision


 
ARTICLE TOOLS
Abstract
PDF Fulltext
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Hedvig Arnberg
Articles by Jack Besjakov
Articles by Niels Thomsen
Articles by Emma Dahlin
Articles by Lars B. Dahlin
on Google
on Google Scholar


This Article Cited By the following articles

High body mass index is associated with increased risk for osteoarthritis of the first carpometacarpal joint during more than 30 years of follow-up
RMD Open 2020; 6(3): e001368.

1
 
How to Cite this Article
Pubmed Style

Hedvig Arnberg, Jack Besjakov, Niels Thomsen, Emma Dahlin, Lars B. Dahlin. Osteoarthritis of the first carpometacarpal joint – Patients’ subjective symptoms related to surgical outcome. Hand Microsurg. 2018; 7(2): 63-72. doi:10.5455/handmicrosurg.299214


Web Style

Hedvig Arnberg, Jack Besjakov, Niels Thomsen, Emma Dahlin, Lars B. Dahlin. Osteoarthritis of the first carpometacarpal joint – Patients’ subjective symptoms related to surgical outcome. https://handmicrosurgeryjournal.com/?mno=299214 [Access: May 27, 2022]. doi:10.5455/handmicrosurg.299214


AMA (American Medical Association) Style

Hedvig Arnberg, Jack Besjakov, Niels Thomsen, Emma Dahlin, Lars B. Dahlin. Osteoarthritis of the first carpometacarpal joint – Patients’ subjective symptoms related to surgical outcome. Hand Microsurg. 2018; 7(2): 63-72. doi:10.5455/handmicrosurg.299214



Vancouver/ICMJE Style

Hedvig Arnberg, Jack Besjakov, Niels Thomsen, Emma Dahlin, Lars B. Dahlin. Osteoarthritis of the first carpometacarpal joint – Patients’ subjective symptoms related to surgical outcome. Hand Microsurg. (2018), [cited May 27, 2022]; 7(2): 63-72. doi:10.5455/handmicrosurg.299214



Harvard Style

Hedvig Arnberg, Jack Besjakov, Niels Thomsen, Emma Dahlin, Lars B. Dahlin (2018) Osteoarthritis of the first carpometacarpal joint – Patients’ subjective symptoms related to surgical outcome. Hand Microsurg, 7 (2), 63-72. doi:10.5455/handmicrosurg.299214



Turabian Style

Hedvig Arnberg, Jack Besjakov, Niels Thomsen, Emma Dahlin, Lars B. Dahlin. 2018. Osteoarthritis of the first carpometacarpal joint – Patients’ subjective symptoms related to surgical outcome. Hand and Microsurgery, 7 (2), 63-72. doi:10.5455/handmicrosurg.299214



Chicago Style

Hedvig Arnberg, Jack Besjakov, Niels Thomsen, Emma Dahlin, Lars B. Dahlin. "Osteoarthritis of the first carpometacarpal joint – Patients’ subjective symptoms related to surgical outcome." Hand and Microsurgery 7 (2018), 63-72. doi:10.5455/handmicrosurg.299214



MLA (The Modern Language Association) Style

Hedvig Arnberg, Jack Besjakov, Niels Thomsen, Emma Dahlin, Lars B. Dahlin. "Osteoarthritis of the first carpometacarpal joint – Patients’ subjective symptoms related to surgical outcome." Hand and Microsurgery 7.2 (2018), 63-72. Print. doi:10.5455/handmicrosurg.299214



APA (American Psychological Association) Style

Hedvig Arnberg, Jack Besjakov, Niels Thomsen, Emma Dahlin, Lars B. Dahlin (2018) Osteoarthritis of the first carpometacarpal joint – Patients’ subjective symptoms related to surgical outcome. Hand and Microsurgery, 7 (2), 63-72. doi:10.5455/handmicrosurg.299214





Most Viewed Articles
  • Giant intramuscular lipoma of arm: A case report and review of the literature
    Muzaffer Durmus, Ahmet Demirhan Dal, Abdul Kerim Yapici, Sedat Avsar, Yalcin Bayram
    Hand Microsurg. 2014; 3(3): 87-90
    » Abstract & References » doi: 10.5455/handmicrosurg.173820

  • Cubital tunnel syndrome due to heterotrophic ossification caused by radial head fracture: A case report
    Seyitali Gumustas, Haci Bayram Tosun, Ismail Agir, Abuzer Uludag
    Hand Microsurg. 2014; 3(1): 24-28
    » Abstract & References » doi: 10.5455/handmicrosurg.1577

  • Munchausen’s syndrome or pure self-mutilation? A case of self-inflicted tendon injury
    Burak Kaya, Servet Elcin Alpat, Mehmet Sonmez, Cem Cerkez, Savas Serel
    Hand Microsurg. 2014; 3(3): 83-86
    » Abstract & References » doi: 10.5455/handmicrosurg.172607

  • Radial nerve grafting in high energy humeral fractures
    Yusuf Gürbüz, Tahir Sadık Sügün, Kemal Özaksar, Murat Kayalar, Tulgar Toros, İbrahim Kaplan
    Hand Microsurg. 2012; 1(2): 60-64
    » Abstract & References » doi: 10.2399/emd.12.58077

  • The utility of onion extract gel containing topical allantoin and heparin after surgical treatment of upper extremity burn scars
    Mehmet Ihsan Okur, Alpagan Mustafa Yildirim, Bilsev Ince
    Hand Microsurg. 2014; 3(3): 74-79
    » Abstract & References » doi: 10.5455/handmicrosurg.172436

  • Most Downloaded
  • Bone island and hand involvement – A short review
    Ganesh Singh Dharmshaktu, Binit Singh
    Hand Microsurg. 2018; 7(2): 93-97
    » Abstract » doi: 10.5455/handmicrosurg.258665

  • Lipofibromatous hamartoma of the digital nerve: A case report
    Emin Sir, Alper Aksoy
    Hand Microsurg. 2018; 7(1): 45-48
    » Abstract » doi: 10.5455/handmicrosurg.255406

  • The three bony point relationship of the elbow-Why is there still a lack of consensus?
    Supreeth Nekkanti, Dama Kondaiah Naidu, Jasmine Sebastin, Kamal Prasad, Mohan Yeshwanth, Archana Meka
    Hand Microsurg. 2018; 7(2): 79-82
    » Abstract » doi: 10.5455/handmicrosurg.291476

  • Hand grip strength: Age and gender stratified normative data in Anatolian population
    Melih Unal, Ozkan Kose, Hasan Onur Arik, Ferhat Guler, Baver Acar, Halil Yalcin Yuksel
    Hand Microsurg. 2018; 7(1): 16-23
    » Abstract » doi: 10.5455/handmicrosurg.257058

  • Synovial chondromatosis of the wrist
    Murat Kayalar, Abuzer Uludag, Basak Doganavsargil Yakut, Ahmet Savran
    Hand Microsurg. 2018; 7(2): 109-111
    » Abstract » doi: 10.5455/handmicrosurg.269392

  • Most Cited Articles
  • The rise of wide awake hand surgery - Contribution from Turkey
    Egemen Ayhan, Emre Ozdemir, Ender Gumusoglu, Kadir Cevik, Metin M Eskandari
    Hand Microsurg. 2018; 7(3): 125-134
    » Abstract » doi: 10.5455/handmicrosurg.299709
    Cited : 6 times [Click to see citing articles]

  • Giant lipomas of the hand
    Gokce Yildiran, Osman Akdag, Mehtap Karamese, Muhammed Nebil Selimoglu, Zekeriya Tosun
    Hand Microsurg. 2015; 4(1): 8-11
    » Abstract & References » doi: 10.5455/handmicrosurg.175443
    Cited : 3 times [Click to see citing articles]

  • Upper extremity tumors
    Levent Eralp , Halil Buldu
    Hand Microsurg. 2013; 2(3): 105-114
    » Abstract & References » doi: 10.5455/handmicrosurg.164446
    Cited : 3 times [Click to see citing articles]

  • Flexor pollicis longus repair in a patient with Linburg-Comstock anomaly: A case report
    Mehmet Unal, Eren Cansu, Hakan Cift
    Hand Microsurg. 2016; 5(2): 88-91
    » Abstract » doi: 10.5455/handmicrosurg.193633
    Cited : 3 times [Click to see citing articles]

  • Hirudo medicinalis - historical and biological background and their role in microsurgery: Review article
    Abdul Kerim Yapici, Muzaffer Durmus, Mehmet Tanyuksel, Selim Turkkan, Harun Yasin Tuzun, Arsen Arsenishvili
    Hand Microsurg. 2017; 6(1): 34-38
    » Abstract » doi: 10.5455/handmicrosurg.217838
    Cited : 3 times [Click to see citing articles]