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. 2023 Apr 22;13(5):704.
doi: 10.3390/jpm13050704.

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

Raimund Winter  1 , Sophie Hasiba-Pappas  1 , Lars-P Kamolz  1   2 , Sebastian Tschauner  3 , Oskar Bamer  4 , Alexandru Cristian Tuca  1 , Hanna Luze  1 , Sebastian P Nischwitz  1 , Birgit Michelitsch  1 , Herwig Friedl  5 , David Benjamin Lumenta  1 , Werner Girsch  1
Affiliations

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

Raimund Winter et al. J Pers Med. .

Abstract

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.

Keywords: CMC-1 arthritis; hand surgery; joint laxity; plastic surgery; radiographic imaging; thumb basal joint arthritis.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
(a) Slope angle 1, (b) bony offset 2. 1 radiological measurement of slope angle in DP images, formed by the axis through the os metacarpale II and trapezium; 2 radiological measurements of width offset in zither player position (width between the lines along the ulnar edge of the trapezium and ulnar edge of the os metacarpale I).
Figure 2
Figure 2
Slope angle values for the study group versus control group presented as boxplots.
Figure 3
Figure 3
Odds ratio for PHIT with increasing offset values.
Figure 4
Figure 4
Probability for PHIT according to gender and bony offset.
Figure 5
Figure 5
Model comparing the probability for PHIT for (a). gender distribution in this study (continuous lines) to (b). equal female-to-male ratio (dashed lines).
See this image and copyright information in PMC

References

    1. Mureau M.A.M., Rademaker R.P.C., Verhaar J.A.N., Hovius S.E.R. Tendon interposition arthroplasty versus arthrodesis for the treatment of trapeziometacarpal arthritis: A retrospective comparative follow-up study. J. Hand Surg. 2001;26:869–876. doi: 10.1053/jhsu.2001.26659. - DOI - PubMed
    1. Barron O.A., Glickel S.Z., Eaton R.G. Basal joint arthritis of the thumb. J. Am. Acad. Orthop. Surg. 2000;8:314–323. doi: 10.5435/00124635-200009000-00005. - DOI - PubMed
    1. Kapandji A.I., Heim U.F.A. L’ostéotomie de réorientation de la selle trapézienne. Chir. Main. 2002;21:124–133. doi: 10.1016/S1297-3203(02)00097-5. - DOI - PubMed
    1. Lubahn J., Ivance D., Konieczko E., Cooney T. Immunohistochemical detection of relaxin binding to the volar oblique ligament. J. Hand Surg. 2006;31:80–84. doi: 10.1016/j.jhsa.2005.09.012. - DOI - PubMed
    1. Jónsson H., Valtýsdóttir S.T., Kjartansson Ó., Brekkan Á. Hypermobility associated with osteoarthritis of the thumb base: A clinical and radiological subset of hand osteoarthritis. Ann. Rheum. Dis. 1996;55:540–543. doi: 10.1136/ard.55.8.540. - DOI - PMC - PubMed

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