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Review
. 2022 Jan;51(1):2-8.
doi: 10.1007/s00132-021-04195-5. Epub 2021 Dec 15.

[Conservative treatment options for symptomatic thumb trapeziometacarpal joint osteoarthritis]

[Article in German]
Florian Falkner  1   2 , Mahmut Arman Tümkaya  3   4 , Benjamin Thomas  3   4 , Amir K Bigdeli  3   4 , Ulrich Kneser  3   4 , Leila Harhaus  3   4 , Berthold Bickert  3   4
Affiliations
Review

[Conservative treatment options for symptomatic thumb trapeziometacarpal joint osteoarthritis]

[Article in German]
Florian Falkner et al. Orthopade. 2022 Jan.

Abstract
in English, German

Background: There are numerous non-surgical treatment options for basal thumb osteoarthritis (OA).

Objectives: Aetiology, clinical appearance and diagnosis of basal thumb OA, explanation of the individual non-surgical treatment options, presentation of the current state of studies.

Material and methods: Search for case analyses, studies, systematic reviews and meta-analyses using PubMed and LIVIVO.

Results: Intraarticular injections have no more than short-term success with the risk of infection, which should not be underestimated. Radiotherapy seems to be an effective treatment, but little research has been done on this. Physiotherapy and splinting treatment promise long-term improvement of clinical symptoms and hand function.

Conclusion: Basal thumb OA is a common and serious condition, which in the case of continuous pain should be diagnosed and treated adequately. A multi-modal therapeutic regimen with avoidance of repetitive intra-articular injections seems to provide the best long-term results.

Zusammenfassung: HINTERGRUND: Es existieren zahlreiche nichtoperative Behandlungsmöglichkeiten einer symptomatischen Daumensattelgelenksarthrose, der sog. Rhizarthrose.

Fragestellung: Ätiologie, Klinik und Diagnostik der Rhizarthrose, Erläuterung der einzelnen nichtoperativen Therapieoptionen, Darstellung der aktuellen Studienlage.

Material und methode: Suche nach Fallanalysen, Studien, systematischen Übersichtsarbeiten sowie Metaanalysen zur Thematik mittels PubMed und LIVIVO.

Ergebnisse: Intraartikuläre Injektionen haben eher kurzfristige positive Effekte mit nicht zu unterschätzendem Infektionsrisiko. Radiotherapie scheint eine effiziente Behandlung zu sein, die jedoch bisher wenig erforscht wurde. Physiotherapie und Schienenbehandlung versprechen eine längerfristige Besserung der klinischen Symptomatik und der Handfunktion.

Schlussfolgerung: Die Rhizarthrose ist ein häufiges Krankheitsbild, welches bei Beschwerden adäquat diagnostiziert und behandelt werden sollte. Ein multimodales Therapieschema mit Vermeidung repetitiver intraartikulärer Injektionen scheint die besten Langzeiterfolge zu liefern.

Keywords: Conservative; Intra-articular injections; Orthoses; Physiotherapy; Rhizarthrosis.

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References

Literatur

    1. Aebischer B, Elsig S, Taeymans J (2016) Effectiveness of physical and occupational therapy on pain, function and quality of life in patients with trapeziometacarpal osteoarthritis—A systematic review and meta-analysis. Hand Ther 21:5–15 - DOI
    1. Ahern M, Skyllas J, Wajon A, Hush J (2018) The effectiveness of physical therapies for patients with base of thumb osteoarthritis: systematic review and meta-analysis. Musculoskelet Sci Pract 35:46–54 - DOI
    1. Alnot JY, Deal D, Oberlin C et al (1993) GUEPAR total trapeziometacarpal prosthesis in the treatment of arthritis of the thumb. 36 case reports. Ann Chir Main Memb Super 12:93–104 - PubMed
    1. Armbruster EJ, Tan V (2008) Carpometacarpal joint disease: addressing the metacarpophalangeal joint deformity. Hand Clin 24:295–299 - DOI
    1. Bahadir C, Onal B, Dayan VY, Gürer N (2009) Comparison of therapeutic effects of sodium hyaluronate and corticosteroid injections on trapeziometacarpal joint osteoarthritis. Clin Rheumatol 28:529–533 - DOI

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