Is increased trapezial slope a cause of early trapeziometacarpal osteoarthritis?

Maniglio, Lara; Maniglio, Mauro; Aregger, Fabian; Schweizer, Andreas (2023). Is increased trapezial slope a cause of early trapeziometacarpal osteoarthritis? Hand surgery & rehabilitation, 42(6), pp. 464-469. Elsevier 10.1016/j.hansur.2023.09.004

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OBJECTIVES

Thumb carpometacarpal joint osteoarthritis is one of the most common forms of osteoarthritis in the hand. The underlying causes are multifactorial. We investigated whether increased trapezial slope could be a causal factor.

MATERIAL AND METHODS

We measured trapezial slope and 1st metacarpal slope in 37 patients with early thumb carpometacarpal joint osteoarthritis and compared results with 41 patients without osteoarthritis, using computer-supported 3D-analysis based on CT scans.

RESULTS

There was a significant intergroup difference in trapezial slope (111 ° in patients with osteoarthritis, and 107 ° in patients without) and in 1st metacarpal slope (17 ° versus 14 °).

CONCLUSION

Steeper trapezial slope seemed to be a risk factor for thumb carpometacarpal joint osteoarthritis. Therefore, correction of trapezial slope by trapezium osteotomy could be a valuable surgical approach in early thumb carpometacarpal joint osteoarthritis.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Orthopaedic Surgery

UniBE Contributor:

Aregger, Fabian

Subjects:

600 Technology > 610 Medicine & health

ISSN:

2468-1210

Publisher:

Elsevier

Language:

English

Submitter:

Pubmed Import

Date Deposited:

03 Oct 2023 15:26

Last Modified:

10 Dec 2023 00:15

Publisher DOI:

10.1016/j.hansur.2023.09.004

PubMed ID:

37776974

Uncontrolled Keywords:

1st metacarpal base slope Carpometacarpal osteoarthritis trapezial slope trapeziometacarpal osteoarthritis

BORIS DOI:

10.48350/186838

URI:

https://boris.unibe.ch/id/eprint/186838

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