Imaging and management of thumb carpometacarpal joint osteoarthritis

Primary osteoarthritis (OA) involving the thumb carpometacarpal (CMC) joint is a common and frequently debilitating disease. Clinical examination and radiographs are usually sufficient for diagnosis; however, familiarity with the cross-sectional anatomy is useful for diagnosis of this condition. The...

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Bibliographic Details
Published inSkeletal radiology Vol. 44; no. 2; pp. 165 - 177
Main Authors Melville, David M., Taljanovic, Mihra S., Scalcione, Luke R., Eble, Joseph M., Gimber, Lana H., DeSilva, Gregory L., Sheppard, Joseph E.
Format Journal Article
LanguageEnglish
Published Berlin/Heidelberg Springer Berlin Heidelberg 01.02.2015
Springer
Springer Nature B.V
Subjects
Arthroplasty - methods
Carpometacarpal Joints - diagnostic imaging
Carpometacarpal Joints - pathology
Carpometacarpal Joints - surgery
Humans
Imaging
Magnetic Resonance Imaging - methods
Medicine
Medicine & Public Health
Nuclear Medicine
Orthopedics
Osteoarthritis
Osteoarthritis - diagnosis
Osteoarthritis - surgery
Pathology
Radiography - methods
Radiology
Review Article
Thumb - diagnostic imaging
Thumb - pathology
Thumb - surgery
Carpometacarpal
Arthroplasty
Osteoarthritis
Thumb
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Summary:Primary osteoarthritis (OA) involving the thumb carpometacarpal (CMC) joint is a common and frequently debilitating disease. Clinical examination and radiographs are usually sufficient for diagnosis; however, familiarity with the cross-sectional anatomy is useful for diagnosis of this condition. The most widely used classification system for the radiographic staging of thumb carpometacarpal joint OA was first presented by Eaton and Littler, ranging from mild (stages I and II) to severe (stage IV) disease. If conservative treatment fails, surgical treatment is considered. A variety of surgical techniques have been developed and implemented for the management of this pervasive and disabling condition. The purpose of this article is to review the anatomy of the basal joints of the thumb, pathophysiology, preoperative imaging, and various surgical techniques that are utilized in the treatment of OA of the basal joints of the thumb with emphasis on normal postoperative radiographic findings and possible postoperative complications.
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ISSN:0364-2348
1432-2161
DOI:10.1007/s00256-014-1997-0