Current Trends in Nonoperative and Operative Treatment of Trapeziometacarpal Osteoarthritis: A Survey of US Hand Surgeons
Purpose Multiple procedures have been described for trapeziometacarpal (TM) osteoarthritis with varying levels of evidence support. The purpose of this study was to evaluate current trends in the treatment of TM arthritis by surveying active members of the American Society for Surgery of the Hand. M...
Gespeichert in:
| Veröffentlicht in: | The Journal of hand surgery (American ed.) 2012, Vol.37 (1), p.77-82 |
|---|---|
| Hauptverfasser: | , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 82 |
|---|---|
| container_issue | 1 |
| container_start_page | 77 |
| container_title | The Journal of hand surgery (American ed.) |
| container_volume | 37 |
| creator | Wolf, Jennifer Moriatis, MD Delaronde, Steven, MPH, MSW |
| description | Purpose Multiple procedures have been described for trapeziometacarpal (TM) osteoarthritis with varying levels of evidence support. The purpose of this study was to evaluate current trends in the treatment of TM arthritis by surveying active members of the American Society for Surgery of the Hand. Methods We sent an online questionnaire to the e-mail addresses of 2,326 active members of the American Society for Surgery of the Hand, consisting of 5 treatment and 2 demographic questions. Surgeons were contacted twice by e-mail and provided with a link to a de-identified online survey. We performed statistical analysis of correlations between demographics and treatment preferences using chi-square testing. Results We received responses from 1,156 out of 2,326 hand surgeons, a response rate of 50%. The vast majority of surgeons use corticosteroid injections for TM arthritis, and 719 out of 1,156 perform trapeziectomy with ligament reconstruction and tendon interposition (LRTI) for common Eaton stage III arthritis. For scaphotrapeziotrapezoid (STT) arthritis, approximately half of respondents also perform trapeziectomy/LRTI, followed by STT fusion. For a younger woman with minimal radiographic change and pain, 535 out of 1,142 surgeon respondents would advocate continued conservative treatment, whereas the remainder chose Eaton ligament reconstruction, arthroscopy, and metacarpal osteotomy. Conclusions This survey study presents the current opinions of a group of hand surgeons who responded to an online questionnaire regarding treatment of TM arthritis. The results show that trapeziectomy/LRTI is the treatment of choice by most respondents. The use of trapeziectomy/LRTI in the treatment of STT arthritis has not been studied in depth, but this procedure was chosen by half the respondents. The process of choosing treatment strategies is a question for future study. Type of study/level of evidence Prognostic IV. |
| doi_str_mv | 10.1016/j.jhsa.2011.10.010 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_912796307</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>1_s2_0_S0363502311012883</els_id><sourcerecordid>912796307</sourcerecordid><originalsourceid>FETCH-LOGICAL-c440t-5d2aa2759d026f59c68182f1252b10cc97fc7b7b3bd1392cc855e6fa2e37633</originalsourceid><addsrcrecordid>eNp9kl-L1DAUxYMo7uzqF_BB-iI-dcyfSdqKCMvgusLiPMz6HNL01k1tk5qkA-OnN2HGFXzwJeEefuckHC5CrwheE0zEu2E9PAS1ppiQJKwxwU_QinBGSsHF5ilaYSZYyTFlF-gyhAHj5GL8ObqglJBGYLJCx-3iPdhY3KezC4WxxVdn3QxeRXOAQtmu2D1OCVJxyrjr06Bm-GXcBFFp5Wc1FrsQwSkfH7yJJrwvrov94g9wzPi3fXGb05LyHZwNL9CzXo0BXp7vK7S_-XS_vS3vdp-_bK_vSr3Z4FjyjipFK950mIqeN1rUpKY9oZy2BGvdVL2u2qplbUdYQ7WuOQfRKwqsEoxdoben1Nm7nwuEKCcTNIyjsuCWIBtCq0YwXCWSnkjtXQgeejl7Myl_lATL3LccZO5b5r6zlvpOptfn-KWdoHu0_Ck4AW_OgApajb1XVpvwl-OCb2qagz6cOEhVHAx4GbQBq6EzHnSUnTP__8fHf-x6NNakF3_AEcLgFm9TyZLIQCWW-7wZeTFICqR1zdhvsmiz8g</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>912796307</pqid></control><display><type>article</type><title>Current Trends in Nonoperative and Operative Treatment of Trapeziometacarpal Osteoarthritis: A Survey of US Hand Surgeons</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><creator>Wolf, Jennifer Moriatis, MD ; Delaronde, Steven, MPH, MSW</creator><creatorcontrib>Wolf, Jennifer Moriatis, MD ; Delaronde, Steven, MPH, MSW</creatorcontrib><description>Purpose Multiple procedures have been described for trapeziometacarpal (TM) osteoarthritis with varying levels of evidence support. The purpose of this study was to evaluate current trends in the treatment of TM arthritis by surveying active members of the American Society for Surgery of the Hand. Methods We sent an online questionnaire to the e-mail addresses of 2,326 active members of the American Society for Surgery of the Hand, consisting of 5 treatment and 2 demographic questions. Surgeons were contacted twice by e-mail and provided with a link to a de-identified online survey. We performed statistical analysis of correlations between demographics and treatment preferences using chi-square testing. Results We received responses from 1,156 out of 2,326 hand surgeons, a response rate of 50%. The vast majority of surgeons use corticosteroid injections for TM arthritis, and 719 out of 1,156 perform trapeziectomy with ligament reconstruction and tendon interposition (LRTI) for common Eaton stage III arthritis. For scaphotrapeziotrapezoid (STT) arthritis, approximately half of respondents also perform trapeziectomy/LRTI, followed by STT fusion. For a younger woman with minimal radiographic change and pain, 535 out of 1,142 surgeon respondents would advocate continued conservative treatment, whereas the remainder chose Eaton ligament reconstruction, arthroscopy, and metacarpal osteotomy. Conclusions This survey study presents the current opinions of a group of hand surgeons who responded to an online questionnaire regarding treatment of TM arthritis. The results show that trapeziectomy/LRTI is the treatment of choice by most respondents. The use of trapeziectomy/LRTI in the treatment of STT arthritis has not been studied in depth, but this procedure was chosen by half the respondents. The process of choosing treatment strategies is a question for future study. Type of study/level of evidence Prognostic IV.</description><identifier>ISSN: 0363-5023</identifier><identifier>EISSN: 1531-6564</identifier><identifier>DOI: 10.1016/j.jhsa.2011.10.010</identifier><identifier>PMID: 22119601</identifier><identifier>CODEN: JHSUDV</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Attitude of Health Personnel ; Biological and medical sciences ; Carpometacarpal Joints - diagnostic imaging ; Carpometacarpal Joints - surgery ; Cross-Sectional Studies ; Diseases of the osteoarticular system ; Female ; Hand surgeon ; Humans ; Male ; Medical sciences ; Miscellaneous. Osteoarticular involvement in other diseases ; Orthopedics ; Orthopedics - standards ; Orthopedics - trends ; Osteoarthritis ; Osteoarthritis - diagnostic imaging ; Osteoarthritis - physiopathology ; Osteoarthritis - therapy ; Practice Patterns, Physicians' - trends ; Radiography ; scaphotrapeziotrapezoid ; Specialties, Surgical - trends ; survey ; Surveys and Questionnaires ; Thumb - diagnostic imaging ; Thumb - surgery ; trapeziometacarpal ; Trapezium Bone - diagnostic imaging ; Trapezium Bone - surgery ; United States</subject><ispartof>The Journal of hand surgery (American ed.), 2012, Vol.37 (1), p.77-82</ispartof><rights>American Society for Surgery of the Hand</rights><rights>2012 American Society for Surgery of the Hand</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2012 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c440t-5d2aa2759d026f59c68182f1252b10cc97fc7b7b3bd1392cc855e6fa2e37633</citedby><cites>FETCH-LOGICAL-c440t-5d2aa2759d026f59c68182f1252b10cc97fc7b7b3bd1392cc855e6fa2e37633</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0363502311012883$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,4009,27902,27903,27904,65309</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=25654820$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22119601$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wolf, Jennifer Moriatis, MD</creatorcontrib><creatorcontrib>Delaronde, Steven, MPH, MSW</creatorcontrib><title>Current Trends in Nonoperative and Operative Treatment of Trapeziometacarpal Osteoarthritis: A Survey of US Hand Surgeons</title><title>The Journal of hand surgery (American ed.)</title><addtitle>J Hand Surg Am</addtitle><description>Purpose Multiple procedures have been described for trapeziometacarpal (TM) osteoarthritis with varying levels of evidence support. The purpose of this study was to evaluate current trends in the treatment of TM arthritis by surveying active members of the American Society for Surgery of the Hand. Methods We sent an online questionnaire to the e-mail addresses of 2,326 active members of the American Society for Surgery of the Hand, consisting of 5 treatment and 2 demographic questions. Surgeons were contacted twice by e-mail and provided with a link to a de-identified online survey. We performed statistical analysis of correlations between demographics and treatment preferences using chi-square testing. Results We received responses from 1,156 out of 2,326 hand surgeons, a response rate of 50%. The vast majority of surgeons use corticosteroid injections for TM arthritis, and 719 out of 1,156 perform trapeziectomy with ligament reconstruction and tendon interposition (LRTI) for common Eaton stage III arthritis. For scaphotrapeziotrapezoid (STT) arthritis, approximately half of respondents also perform trapeziectomy/LRTI, followed by STT fusion. For a younger woman with minimal radiographic change and pain, 535 out of 1,142 surgeon respondents would advocate continued conservative treatment, whereas the remainder chose Eaton ligament reconstruction, arthroscopy, and metacarpal osteotomy. Conclusions This survey study presents the current opinions of a group of hand surgeons who responded to an online questionnaire regarding treatment of TM arthritis. The results show that trapeziectomy/LRTI is the treatment of choice by most respondents. The use of trapeziectomy/LRTI in the treatment of STT arthritis has not been studied in depth, but this procedure was chosen by half the respondents. The process of choosing treatment strategies is a question for future study. Type of study/level of evidence Prognostic IV.</description><subject>Attitude of Health Personnel</subject><subject>Biological and medical sciences</subject><subject>Carpometacarpal Joints - diagnostic imaging</subject><subject>Carpometacarpal Joints - surgery</subject><subject>Cross-Sectional Studies</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>Hand surgeon</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Miscellaneous. Osteoarticular involvement in other diseases</subject><subject>Orthopedics</subject><subject>Orthopedics - standards</subject><subject>Orthopedics - trends</subject><subject>Osteoarthritis</subject><subject>Osteoarthritis - diagnostic imaging</subject><subject>Osteoarthritis - physiopathology</subject><subject>Osteoarthritis - therapy</subject><subject>Practice Patterns, Physicians' - trends</subject><subject>Radiography</subject><subject>scaphotrapeziotrapezoid</subject><subject>Specialties, Surgical - trends</subject><subject>survey</subject><subject>Surveys and Questionnaires</subject><subject>Thumb - diagnostic imaging</subject><subject>Thumb - surgery</subject><subject>trapeziometacarpal</subject><subject>Trapezium Bone - diagnostic imaging</subject><subject>Trapezium Bone - surgery</subject><subject>United States</subject><issn>0363-5023</issn><issn>1531-6564</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kl-L1DAUxYMo7uzqF_BB-iI-dcyfSdqKCMvgusLiPMz6HNL01k1tk5qkA-OnN2HGFXzwJeEefuckHC5CrwheE0zEu2E9PAS1ppiQJKwxwU_QinBGSsHF5ilaYSZYyTFlF-gyhAHj5GL8ObqglJBGYLJCx-3iPdhY3KezC4WxxVdn3QxeRXOAQtmu2D1OCVJxyrjr06Bm-GXcBFFp5Wc1FrsQwSkfH7yJJrwvrov94g9wzPi3fXGb05LyHZwNL9CzXo0BXp7vK7S_-XS_vS3vdp-_bK_vSr3Z4FjyjipFK950mIqeN1rUpKY9oZy2BGvdVL2u2qplbUdYQ7WuOQfRKwqsEoxdoben1Nm7nwuEKCcTNIyjsuCWIBtCq0YwXCWSnkjtXQgeejl7Myl_lATL3LccZO5b5r6zlvpOptfn-KWdoHu0_Ck4AW_OgApajb1XVpvwl-OCb2qagz6cOEhVHAx4GbQBq6EzHnSUnTP__8fHf-x6NNakF3_AEcLgFm9TyZLIQCWW-7wZeTFICqR1zdhvsmiz8g</recordid><startdate>2012</startdate><enddate>2012</enddate><creator>Wolf, Jennifer Moriatis, MD</creator><creator>Delaronde, Steven, MPH, MSW</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2012</creationdate><title>Current Trends in Nonoperative and Operative Treatment of Trapeziometacarpal Osteoarthritis: A Survey of US Hand Surgeons</title><author>Wolf, Jennifer Moriatis, MD ; Delaronde, Steven, MPH, MSW</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c440t-5d2aa2759d026f59c68182f1252b10cc97fc7b7b3bd1392cc855e6fa2e37633</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Attitude of Health Personnel</topic><topic>Biological and medical sciences</topic><topic>Carpometacarpal Joints - diagnostic imaging</topic><topic>Carpometacarpal Joints - surgery</topic><topic>Cross-Sectional Studies</topic><topic>Diseases of the osteoarticular system</topic><topic>Female</topic><topic>Hand surgeon</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Miscellaneous. Osteoarticular involvement in other diseases</topic><topic>Orthopedics</topic><topic>Orthopedics - standards</topic><topic>Orthopedics - trends</topic><topic>Osteoarthritis</topic><topic>Osteoarthritis - diagnostic imaging</topic><topic>Osteoarthritis - physiopathology</topic><topic>Osteoarthritis - therapy</topic><topic>Practice Patterns, Physicians' - trends</topic><topic>Radiography</topic><topic>scaphotrapeziotrapezoid</topic><topic>Specialties, Surgical - trends</topic><topic>survey</topic><topic>Surveys and Questionnaires</topic><topic>Thumb - diagnostic imaging</topic><topic>Thumb - surgery</topic><topic>trapeziometacarpal</topic><topic>Trapezium Bone - diagnostic imaging</topic><topic>Trapezium Bone - surgery</topic><topic>United States</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wolf, Jennifer Moriatis, MD</creatorcontrib><creatorcontrib>Delaronde, Steven, MPH, MSW</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of hand surgery (American ed.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wolf, Jennifer Moriatis, MD</au><au>Delaronde, Steven, MPH, MSW</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Current Trends in Nonoperative and Operative Treatment of Trapeziometacarpal Osteoarthritis: A Survey of US Hand Surgeons</atitle><jtitle>The Journal of hand surgery (American ed.)</jtitle><addtitle>J Hand Surg Am</addtitle><date>2012</date><risdate>2012</risdate><volume>37</volume><issue>1</issue><spage>77</spage><epage>82</epage><pages>77-82</pages><issn>0363-5023</issn><eissn>1531-6564</eissn><coden>JHSUDV</coden><abstract>Purpose Multiple procedures have been described for trapeziometacarpal (TM) osteoarthritis with varying levels of evidence support. The purpose of this study was to evaluate current trends in the treatment of TM arthritis by surveying active members of the American Society for Surgery of the Hand. Methods We sent an online questionnaire to the e-mail addresses of 2,326 active members of the American Society for Surgery of the Hand, consisting of 5 treatment and 2 demographic questions. Surgeons were contacted twice by e-mail and provided with a link to a de-identified online survey. We performed statistical analysis of correlations between demographics and treatment preferences using chi-square testing. Results We received responses from 1,156 out of 2,326 hand surgeons, a response rate of 50%. The vast majority of surgeons use corticosteroid injections for TM arthritis, and 719 out of 1,156 perform trapeziectomy with ligament reconstruction and tendon interposition (LRTI) for common Eaton stage III arthritis. For scaphotrapeziotrapezoid (STT) arthritis, approximately half of respondents also perform trapeziectomy/LRTI, followed by STT fusion. For a younger woman with minimal radiographic change and pain, 535 out of 1,142 surgeon respondents would advocate continued conservative treatment, whereas the remainder chose Eaton ligament reconstruction, arthroscopy, and metacarpal osteotomy. Conclusions This survey study presents the current opinions of a group of hand surgeons who responded to an online questionnaire regarding treatment of TM arthritis. The results show that trapeziectomy/LRTI is the treatment of choice by most respondents. The use of trapeziectomy/LRTI in the treatment of STT arthritis has not been studied in depth, but this procedure was chosen by half the respondents. The process of choosing treatment strategies is a question for future study. Type of study/level of evidence Prognostic IV.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>22119601</pmid><doi>10.1016/j.jhsa.2011.10.010</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0363-5023 |
| ispartof | The Journal of hand surgery (American ed.), 2012, Vol.37 (1), p.77-82 |
| issn | 0363-5023 1531-6564 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_912796307 |
| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Attitude of Health Personnel Biological and medical sciences Carpometacarpal Joints - diagnostic imaging Carpometacarpal Joints - surgery Cross-Sectional Studies Diseases of the osteoarticular system Female Hand surgeon Humans Male Medical sciences Miscellaneous. Osteoarticular involvement in other diseases Orthopedics Orthopedics - standards Orthopedics - trends Osteoarthritis Osteoarthritis - diagnostic imaging Osteoarthritis - physiopathology Osteoarthritis - therapy Practice Patterns, Physicians' - trends Radiography scaphotrapeziotrapezoid Specialties, Surgical - trends survey Surveys and Questionnaires Thumb - diagnostic imaging Thumb - surgery trapeziometacarpal Trapezium Bone - diagnostic imaging Trapezium Bone - surgery United States |
| title | Current Trends in Nonoperative and Operative Treatment of Trapeziometacarpal Osteoarthritis: A Survey of US Hand Surgeons |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-25T11%3A39%3A36IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Current%20Trends%20in%20Nonoperative%20and%20Operative%20Treatment%20of%20Trapeziometacarpal%20Osteoarthritis:%20A%20Survey%20of%20US%20Hand%20Surgeons&rft.jtitle=The%20Journal%20of%20hand%20surgery%20(American%20ed.)&rft.au=Wolf,%20Jennifer%20Moriatis,%20MD&rft.date=2012&rft.volume=37&rft.issue=1&rft.spage=77&rft.epage=82&rft.pages=77-82&rft.issn=0363-5023&rft.eissn=1531-6564&rft.coden=JHSUDV&rft_id=info:doi/10.1016/j.jhsa.2011.10.010&rft_dat=%3Cproquest_cross%3E912796307%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=912796307&rft_id=info:pmid/22119601&rft_els_id=1_s2_0_S0363502311012883&rfr_iscdi=true |