The aim of this study is to:- Analysis the mobility of the IP joint, MCP-1 joint and CMC-1 joint after surgical treatment- Analysis the strength of the CMC-I joint after surgical treatment- Analysis the Kapandji opposition of the thumb after…
ID
Source
Brief title
Condition
- Joint disorders
- Bone and joint therapeutic procedures
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
The primary outcome is the functional limitation of the hand (DASH score /
MHOQ)
Secondary outcome
- Mobility of IP joint, MCP joint and the CMC-1 joint
- Pinch strength thumb and fingers
- Opposition of the thumb according to Kapandji
- Pain (VAS score, during rest and activity)
- Degree of CMC-I joint subluxation
Background summary
Osteoarthritis of the CMC-1 joint is a noninfectious degeneration of the
cartilage of the carpometacarpal joint of the thumb. The symptoms of CMC-1
osteoartrosis may consist of osteoarthritis pain, decreased strength and
subluxation of the joint, which all can result in dysfunction of the thumb.
There are a number of conservative options such as immobilization splint
therapy and intra articulair injections with corticosteroiden. Furthermore
surgical treatment is possible, including artrodesis, excision of the trapezium
with ligament reconstruction, excision of the trapezium with a prothesis or
with interposition arthroplasty. Another possibility is a combination of
ligament reconstruction and interposition arthroplasty, LRTI. The present study
was conducted to establish the long-term results and to highlight the problems
associated with the different surgical and conservative treatments
Study objective
The aim of this study is to:
- Analysis the mobility of the IP joint, MCP-1 joint and CMC-1 joint after
surgical treatment
- Analysis the strength of the CMC-I joint after surgical treatment
- Analysis the Kapandji opposition of the thumb after surgical treatment
- Analysis the functional outcome of the CMC-1 joint after surgical treatment
- Analysis subluxation of the joint-I CMC after a surgical treatment
- Analysis of pain after conservative treatment
- Analysis the functional outcome of the CMC-1 joint after conservative
treatment
Research Hypotheses:
- After surgical treatment a grip strength of 85% standard for age and sex is
expected
- After surgical treatment of CMC-1 osteoarthritis is a good DASH score
expected ( <50 points)
- Radiographic abnormalities do not always have clinical consequence
- After conservative treatment of CMC-1 osteoarthritis is a good DASH score
expected (<50 points)
Study design
Descriptive retrospective cross-sectional cohort study
Study burden and risks
The study contains no additional risks for the included patients except for the
total radiation exposure of 0.002 mSv (annual background radiation in the
Netherlands 2.0-2.5 mSv per inhabitant). The patient fill out two
questionnaires which takes about an hour to complete. In addition, the
patients are invited for a clinical visit for a half hour. During this clinic
visit some functional tests of the hand will preformed end a X-ray of both
hands is taken.
Meibergdreef 9
Amsterdam 1105AZ
NL
Meibergdreef 9
Amsterdam 1105AZ
NL
Listed location countries
Age
Inclusion criteria
Treatment for osteoartritis of the basal joint of the thumb
Treatment AMC/OLVG
Signed informed consent
Minimal follow up 12 months
Maximum 1 surgery
Exclusion criteria
Other pathology on the same hand which can affect the functional results
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL43052.018.12 |