gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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Arthroscopy in thumb carpometacarpal joint osteoarthritis

Meeting Abstract

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  • presenting/speaker Joanna Walecka - Poznan Hand Surgery Department, Rehasport Clinic, Poznan, Poland
  • Przemyslaw Lubiatowski - Poznan Hand Surgery Department, Rehasport Clinic, Poznan, Poland
  • Jan Dlugosz - Rehasport Clinic, Poznan, Poland
  • Leszek Romanowski - Poznan Hand Surgery Department, Poznan, Poland

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-1466

doi: 10.3205/19ifssh0201, urn:nbn:de:0183-19ifssh02012

Veröffentlicht: 6. Februar 2020

© 2020 Walecka et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.

Gliederung

Text

Objectives/Interrogation: Degenerative changes in the wrist and metacarpophalangeal joint (CMC I) are a very common degenerative joint (OA) disease, especially of women. If conservative treatment has not been successful, surgical treatment is recommended.

CMC I arthroscopy allows for easy diagnostics, classification, and treatment of OA.

Methods: 17 patients (16 K, 1 M, mean age 59) with diagnosed OA of CMC, who underwent arthroscopy in 2011-2015. The treatment included -synovectomy, debridement of the articular surfaces, in 4 cases micro-fractures were performed, one patient required APL interposition additionally. Clinical evaluation before and after surgery of the patients included pain scales according to VAS, evaluation of the thumb function, (satisfaction), provocative tests, X-ray.

Results and Conclusions: There were no indications for reoperation. In earlier observations, there was a reduction of pain (before surgery: 5 severe pain, 12 very severe pain after 5 pain and moderate pain 12) and improvement of the thumb function where patients reported a significant dysfunction before surgery. The provocative tests were evaluated and improved. No complications or revision/reoperation were reported.

Conclusions: Arthroscopy of the CMC I joint allows more accurate diagnostics and effective and minimally invasive treatment of degenerative changes.