Management of Scaphotrapeziotrapezoid Osteoarthritis: A Crit... : JBJS Reviews

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Review Articles with Critical Analysis Component

A Critical Analysis Review

Alder, Kareme D. MD1; Feroe, Aliya G. MD, MPH1; Karim, Kristin E. MD1,a

Author Information

1Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota

aEmail address for corresponding author: [email protected]

Investigation performed at the Mayo Clinic, Rochester, Minnesota

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (https://links.lww.com/JBJSREV/B14).

JBJS Reviews | DOI: 10.2106/JBJS.RVW.23.00093

Metrics Abstract » The scaphotrapeziotrapezoid (STT) joint is a common location of degenerative osteoarthritis (OA) in the wrist. » STT OA may occur in isolation or with concomitant thumb carpometacarpal joint (CMCJ) OA or scapholunate advanced collapse (SLAC) and other wrist OA patterns. » Nonoperative management strategies include activity modification, bracing, anti-inflammatory medications, occupational therapy, and injections. » Surgical treatment may be determined by whether the STT OA occurs in isolation or with concomitant thumb CMCJ or SLAC OA and includes STT arthrodesis, distal scaphoid excision with or without interposition or implant arthroplasty, trapeziectomy with proximal trapezoid excision, four-corner fusion in combination with scaphoid/radial column excision, and proximal row carpectomy. Copyright © 2023 by The Journal of Bone and Joint Surgery, Incorporated Full Text Access for Subscribers:

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