In brief
Metacarpophalangeal Joint Hyperextension and the Treatment of Thumb Basilar Joint Arthritis

https://doi.org/10.1016/j.jhsa.2011.12.012Get rights and content

Cited by (22)

  • Changes in the Functional Range of Motion of the Thumb Metacarpophalangeal Joint After Trapeziometacarpal Arthrodesis for Patients With Advanced Trapeziometacarpal Osteoarthritis

    2023, Journal of Hand Surgery
    Citation Excerpt :

    First, the number of patients was small. Second, the hyperextension deformities in our cohort were less severe compared to those of previous reports.4 The findings may be different in cases with more severe MCP joint hyperextension deformities.

  • Revision Thumb Carpometacarpal Arthroplasty

    2022, Hand Clinics
    Citation Excerpt :

    Poulter and colleagues reported similar findings in patients who underwent simple trapeziectomy.27 Surgical procedures at the time of CMC arthroplasty to improve MCP hyperextension include extensor pollicis brevis transfer, volar plate advancement (ie, capsulodesis), and MCP arthrodesis.28 The approach to treat MCP pathology is surgeon-dependent, but traditionally arthrodesis is used when a hyperextension deformity is greater than 30° to 45°, and the target position of the MCP is 15 to 25 degrees of flexion.25,29

  • Metacarpophalangeal joint instability in trapeziometacarpal osteoarthritis: A systematic review

    2021, Hand Surgery and Rehabilitation
    Citation Excerpt :

    To our knowledge, there are no controlled studies comparing these procedures. Several authors have proposed an algorithm to guide the management of MCP hyperextension in the context of thumb basal joint arthritis (Fig. 8) [4,23,61]. With no consensus available, Zancolli et al. proposed to operate only on thumbs with more than 20° MCP hyperextension [62].

  • Minimal Clinically Important Difference of the PROMIS Upper-Extremity Computer Adaptive Test and QuickDASH for Ligament Reconstruction Tendon Interposition Patients

    2021, Journal of Hand Surgery
    Citation Excerpt :

    No pins were used; patients were placed in forearm-based thumb spica plaster orthoses in the operating room. At the discretion of the treating surgeon, MCP procedures including arthrodesis, capsulodesis, and extensor pollicis brevis tenodesis were performed in select patients with dynamic MCP hyperextension noted upon actively performing 3-point pinch29 or those with painful degenerative changes. All operations were performed under general anesthesia or regional anesthesia with sedation.

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