OBJECTIVE To assess the effectiveness of a functional splint for trapeziometacarpal osteoarthritis. METHODS Forty patients with a diagnosis of painful trapezio-metacarpal osteoarthritis of the dominant hand were randomized into 2 groups. The study group received the splint at baseline and used it during activities of daily living for 180 days and the control group used the splint only during ...

The tendons of the long thumb abductor (APL) and short extensor (EPB), which travel through a fibroosseous tunnel in styloid process radius, are afflicted by De Quervain's tendinopathy. This condition causes (or sheath) they pass to thicken non-inflammatorily. Individuals with this illness report radial side wrist discomfort that gets worse when moved. often has some swelling discomfort. physic...

Background:  The primary aim of this study was to determine predictors of missed research appointments in a prospective  andomized placebo injection-controlled trial with evaluations 1 to 3 and 5 to 8 months after enrollment.   Methods:  This study represents a secondary use of data from 104 patients that were enrolled in a prospective randomized  ontrolled trial of dexamethasone versus lidocai...

Excision of the trapezium with Gelfoam interposition was performed in 35 thumbs, 34 of which were evaluated after an average 5 years. Twenty-four patients had unilateral procedures. The follow-up examination included a standardized questionnaire and clinical and radiological examinations. Pain relief was achieved in all cases. The patients considered that 32 of their operated hands had improved...

We report a long-term follow-up of abduction-extension osteotomy of the first metacarpal, performed for painful trapeziometacarpal osteoarthritis. Of a consecutive series of 50 operations, 41 thumbs (82%) were reviewed at a mean follow-up of 6.8 years. Good or excellent pain relief was achieved in 80%, and 93% considered that surgery had improved hand function, while 82% had normal grip and pin...