Arthroscopic Partial Trapezictomy With Hematoma Distraction in Basal Thumb Arthritis

Not Applicable

Recruiting

• Conditions: Orthopedic Disorder
• Interventions: Procedure: wrist arthroscopy

• Registration Number: NCT05746091
• Lead Sponsor: Al-Azhar University

Brief Summary

The basal joint, also referred to as the carpometacarpal (CMC) joint, of the thumb is one of the joints most commonly affected by arthritis. CMC joint arthritis can lead to decreased grip and pinch strength and impairment of activities of daily living

Detailed Description

The thumb CMC joint has been reported as the most painful joint when compared to other hand joints affected by OA. It is therefore no surprise that this is a common chief complaint of patients and has a significant effect on work and life satisfaction Patients often present with complaints of pain localized to the base of the thumb that is exacerbated when performing tasks such as opening a jar, turning a car key, and turning door Knob, this pain may be reproduced by resisted pinch and grip .

On physical examination, patients will have point tenderness at the thumb basal joint with swelling and crepitus when the basal joint is compressed - a positive grind test and a positive "hump" sign from dorsal CMC dislocation subluxation .

Study Timeline

• Study First Submitted: 2023-02-17
• Study First Submitted QC: 2023-02-17
• Study First Posted: 2023-02-27
• Study Start: 2023-12-30
• Status Verified: 2024-01
• Last Update Submitted: 2024-01-15
• Last Update Posted: 2024-01-17
• Primary Completion: 2024-10-01
• Study Completion: 2024-12-05

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 24

Inclusion Criteria

• Age: adult patient > 20years.
• Gender: Males & Females.
• Symptomtic patient.
• Failed conservative treatment of 6 months duration
• Eaton stage II, III and IV of base thumb arthritis

Exclusion Criteria

• Patient presenting with flexor carpi radialis rupture
• Previous Zancolli arthroplasty
• Associated comorbidity as: RA,DM with joint destruction
• Infection
• Poor Skin Condition
• Active Pateint With High Joint Demand

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Arthroscopic partial Trapezictomy With Hematoma Distraction	wrist arthroscopy	-

Primary Outcome Measures

Name	Time	Method
DASH score	1 year	score for pinch grip

Trial Locations

Locations (1)

Alazhar; 🇪🇬 Assiut, Egypt