Arthroscopic Partial Trapeziectomy With Hematoma Distraction in Basal Thumb Arthritis
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 24
- 试验地点
- 2
- 主要终点
- DASH score
研究概览
简要总结
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
详细描述
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 .
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 20 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •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
结局指标
主要结局
DASH score
时间窗: 1 year
score for pinch grip
次要结局
未报告次要终点
研究者
Ahmed Abbas Mahmoud
principal investigator
Al-Azhar University