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Radiographic prevalence of scaphotrapeziotrapezoid osteoarthrosis

Scordino, Laura E; Bernstein, Jenna; Nakashian, Michael; McIntosh, Masai; Cote, Mark P; Rodner, Craig M and Wolf, Jennifer Moriatis LU (2014) In The Journal of hand surgery 39(9). p.82-1677
Abstract

PURPOSE: To define the radiographic prevalence of scaphotrapeziotrapezoid (STT) osteoarthrosis (OA) in a cohort of patients presenting to a hand surgeon for any complaint. The secondary purpose was to evaluate coexisting thumb carpometacarpal (CMC) joint OA.

METHODS: Seven hundred radiographs were evaluated for presence and degree of STT and thumb CMC arthritic changes in consecutive patients presenting to a hand clinic for any chief complaint over the study period.

RESULTS: OA was noted at the STT joint in 111 of the 700 (16%) radiographs reviewed. Increased age, female sex, presence of a scapholunate (SL) ligament gap greater than 3 mm, and presence of radiographic thumb CMC joint OA were all significantly correlated with... (More)

PURPOSE: To define the radiographic prevalence of scaphotrapeziotrapezoid (STT) osteoarthrosis (OA) in a cohort of patients presenting to a hand surgeon for any complaint. The secondary purpose was to evaluate coexisting thumb carpometacarpal (CMC) joint OA.

METHODS: Seven hundred radiographs were evaluated for presence and degree of STT and thumb CMC arthritic changes in consecutive patients presenting to a hand clinic for any chief complaint over the study period.

RESULTS: OA was noted at the STT joint in 111 of the 700 (16%) radiographs reviewed. Increased age, female sex, presence of a scapholunate (SL) ligament gap greater than 3 mm, and presence of radiographic thumb CMC joint OA were all significantly correlated with presence of STT joint OA. However, logistical regression analysis demonstrated that only increasing age, presence of an SL ligament gap greater than 3 mm, and presence of thumb CMC joint OA were strong predictors of STT joint OA.

CONCLUSIONS: STT joint OA is a common finding on hand radiographs of patients presenting to a hand clinic. Its prevalence increases with age, the presence of an SL ligament gap greater than 3 mm, and with the presence of CMC joint OA.

TYPE OF STUDY/LEVEL OF EVIDENCE: Diagnostic III.

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author
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Adult, Age Factors, Aged, Aged, 80 and over, Carpometacarpal Joints, Female, Humans, Male, Middle Aged, Osteoarthritis, Prevalence, Radiography, Reproducibility of Results, Risk Factors, Wrist Joint, Journal Article
in
The Journal of hand surgery
volume
39
issue
9
pages
82 - 1677
publisher
Elsevier
external identifiers
  • scopus:84906938818
ISSN
1531-6564
DOI
10.1016/j.jhsa.2014.05.033
language
English
LU publication?
no
id
6049d29f-b3a2-48c3-a485-a02cdf1b07f2
date added to LUP
2017-06-01 09:56:09
date last changed
2017-10-22 05:31:16
@article{6049d29f-b3a2-48c3-a485-a02cdf1b07f2,
  abstract     = {<p>PURPOSE: To define the radiographic prevalence of scaphotrapeziotrapezoid (STT) osteoarthrosis (OA) in a cohort of patients presenting to a hand surgeon for any complaint. The secondary purpose was to evaluate coexisting thumb carpometacarpal (CMC) joint OA.</p><p>METHODS: Seven hundred radiographs were evaluated for presence and degree of STT and thumb CMC arthritic changes in consecutive patients presenting to a hand clinic for any chief complaint over the study period.</p><p>RESULTS: OA was noted at the STT joint in 111 of the 700 (16%) radiographs reviewed. Increased age, female sex, presence of a scapholunate (SL) ligament gap greater than 3 mm, and presence of radiographic thumb CMC joint OA were all significantly correlated with presence of STT joint OA. However, logistical regression analysis demonstrated that only increasing age, presence of an SL ligament gap greater than 3 mm, and presence of thumb CMC joint OA were strong predictors of STT joint OA.</p><p>CONCLUSIONS: STT joint OA is a common finding on hand radiographs of patients presenting to a hand clinic. Its prevalence increases with age, the presence of an SL ligament gap greater than 3 mm, and with the presence of CMC joint OA.</p><p>TYPE OF STUDY/LEVEL OF EVIDENCE: Diagnostic III.</p>},
  author       = {Scordino, Laura E and Bernstein, Jenna and Nakashian, Michael and McIntosh, Masai and Cote, Mark P and Rodner, Craig M and Wolf, Jennifer Moriatis},
  issn         = {1531-6564},
  keyword      = {Adult,Age Factors,Aged,Aged, 80 and over,Carpometacarpal Joints,Female,Humans,Male,Middle Aged,Osteoarthritis,Prevalence,Radiography,Reproducibility of Results,Risk Factors,Wrist Joint,Journal Article},
  language     = {eng},
  number       = {9},
  pages        = {82--1677},
  publisher    = {Elsevier},
  series       = {The Journal of hand surgery},
  title        = {Radiographic prevalence of scaphotrapeziotrapezoid osteoarthrosis},
  url          = {http://dx.doi.org/10.1016/j.jhsa.2014.05.033},
  volume       = {39},
  year         = {2014},
}