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. 2015 Feb;4(1):35-42.
doi: 10.1055/s-0034-1398487.

De Quervain Tenosynovitis Following Trapeziometacarpal Ball-and-Socket Joint Replacement

Jean F Goubau  1 , Laurent Goubau  2 , Chul Ki Goorens  3 , Petrus van Hoonacker  4 , Diederick Kerckhove  4 , Bert Vanmierlo  4 , Bart Berghs  4
Affiliations

De Quervain Tenosynovitis Following Trapeziometacarpal Ball-and-Socket Joint Replacement

Jean F Goubau et al. J Wrist Surg. 2015 Feb.

Abstract

Background One of the surgical treatment options for trapeziometacarpal (TMC) joint arthritis is a prosthetic ball-and-socket replacement. One of the complications in the postoperative setting is de Quervain tendinopathy. Purposes Although this complication has been reported following a resection athroplasty, we questioned whether lengthening of the thumb following the Ivory (Memometal, Stryker Corporate, Kalamazoo, MI, USA) ball-and-socket arthroplasty could be a causal factor. Methods In a prospective study regarding the overall outcome of the Ivory prosthesis, we analyzed 96 cases (83 patients; 69 female, 12 male, 8 bilateral) of primary implanted Ivory prosthesis and the incidence of de Quervain disease during the first year following surgery. We found a particularly high incidence (17%) of de Quervain tendinopathy the first year following this ball-and-socket arthroplasty. We measured the lengthening of the thumb radiographically in the group presenting de Quervain and the asymptomatic group and compared this measure between the two groups. Results We did not find any measurable or statistically significant difference between the groups regarding lengthening. Discussion These findings suggest that lengthening of the thumb following ball-and-socket arthroplasty is not a causal factor in the development of de Quervain tendinopathy within one year after surgery.

Keywords: ball-and-socket prosthesis; de Quervain; lengthening; trapeziometacarpal.

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Conflict of interest statement

Funding This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors. Ethical Approval This study received the approval of the Leading Ethics Committee OG 065 of the AZ Sint–Jan AV Brugge–Oostende, campus Brugge, Brugge, Belgium. Conflict of Interest Jean F Goubau is financially supported by Stryker Corporate, Kalamazoo, Michigan, USA, and his payment from the company consists only of expenses for these demonstrations and attending the French Hand Society and European Hand Surgery congresses.

Figures

Fig. 1
Fig. 1
Ivory ball-and-socket TMC prosthesis.
Fig. 2
Fig. 2
Anterolateral approach according to Gedda and Moberg.
Fig. 3
Fig. 3
a1/a2 interval length preoperatively measured in Kapandji profile view (superposition of the sesamoids).
Fig. 4
Fig. 4
a1'/a2' interval length postoperatively measured in Kapandji profile view (superposition of the sesamoids).
Fig. 5a, b
Fig. 5a, b
Preoperative length distributions within (a) the group without de Quervain and (b) the group with de Quervain disease.
Fig. 6a, b
Fig. 6a, b
Postoperative length distribution within (a) the group without de Quervain, (b) and the group with de Quervain disease.
Fig. 7a, b
Fig. 7a, b
Difference in length distribution between a1'/a2' and a1/a2 in (a) the group without de Quervain and (b) the group with de Quervain.
See this image and copyright information in PMC

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