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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Platelet-rich Plasma for Thumb Carpometacarpal Joint Osteoarthritis in a Professional Pianist: Case Report and Review of the Literature

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  • presenting/speaker Raquel Cantero-Téllez - University of Málaga, Tecan Hand Center, Málaga, Spain
  • Ivan Medina Porqueres - University of Málaga, Málaga y alrededores, Spain

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. DocIFSHT19-1218

doi: 10.3205/19ifssh1517, urn:nbn:de:0183-19ifssh15176

Published: February 6, 2020

© 2020 Cantero-Téllez et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

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Objective: Thumb Carpometacarpal Osteoarthritis (TCMC-OA) is a progressively disabling, debilitating condition presenting with thumb base pain and hand functional impairment. Platelet-rich-plasma has been widespread used for the management of musculoskeletal pathologies, being OA among them. The purpose of this study is to report the case of a professional pianist suffering from unilateral TCMC-OA treated with PRP technique and its influence on pain and function levels.

Methods: In this article, we presents one such case of a A 59-year-old male professional pianist presented with chronic, mild onset of right thumb base pain involving a progressive lack of pinch strength in his right hand, and severe difficulties with playing. Three PRP injections were administered to the TCMC joint on a one-week interval regime. Clinical outcomes were assessed by using the visual analog scale (VAS) for pain, Grip and Pinch Strength, and the Quick DASH Questionnaire (Quick-DASH) for function.

Results: Functional outcome was excellent according to patient's capability with daily living activities and specific playing demands at a 6-week follow-up. At 12 months follow-up, no recurrences or complications were identified. Patient self-reported satisfaction was high and he reported to be to his routine piano activity with no limitations.

Conclusions: Our findings confirm initial evidence for PRP injections for treatment of pain and impairment associated with TCMC-OA.