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Comparative Study
. 2024 May 16;19(5):e0302898.
doi: 10.1371/journal.pone.0302898. eCollection 2024.

Three-dimensional motion analysis of pre- and postoperative thumb movement in trapeziometacarpal joint osteoarthritis-Comparison of arthrodesis and trapeziectomy with suspensionplasty

Teruyasu Tanaka  1 , Akira Kodama  1 , Hiroshi Kurumadani  2 , Kaguna Tanimoto  1 , Shigeki Ishibashi  1 , Masaru Munemori  1 , Toru Sunagawa  2 , Nobuo Adachi  1
Affiliations
Comparative Study

Three-dimensional motion analysis of pre- and postoperative thumb movement in trapeziometacarpal joint osteoarthritis-Comparison of arthrodesis and trapeziectomy with suspensionplasty

Teruyasu Tanaka et al. PLoS One. .

Abstract

Trapeziometacarpal osteoarthritis (TMC-OA) reduces the range of motion (ROM) of the thumb. However, the kinematic change achieved through surgical treatment remains unclear. Therefore, to quantify the kinematic change following TMC-OA surgery, we performed a three-dimensional motion analysis of the thumb using an optical motion capture system preoperatively and 1 year postoperatively in 23 patients with TMC-OA scheduled for arthrodesis (AD) or trapeziectomy with suspensionplasty (TS). Eighteen hands of nine healthy volunteers were also included as controls. Both procedures improved postoperative pain and Disability of the Arm, Shoulder and Hand scores, and AD increased pinch strength. The ROM of the base of the thumb was preserved in AD, which was thought to be due to the appearance of compensatory movements of adjacent joints even if the ROM of the TMC joint was lost. TS did not improve ROM. Quantifying thumb kinematic changes following TMC-OA surgery can improve our understanding of TMC-OA treatment and help select surgical procedures and postoperative assessment.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Fig 1
Fig 1. Experimental setup and marker placement.
Fig 2
Fig 2. Typical thumb tip path trajectories in each plane.
Upper row: arthrodesis, lower row: trapeziectomy with suspensionplasty with the position of the start of the circumduction movement as the origin. The blue line shows the preoperative trajectory, while the orange shows the postoperative trajectory.
See this image and copyright information in PMC

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References

    1. Gehrmann SV, Tang J, Li ZM, Goitz RJ, Windolf J, Kaufmann RA. Motion Deficit of the Thumb in CMC Joint Arthritis. J Hand Surg. 2010. Sep;35(9):1449–53. doi: 10.1016/j.jhsa.2010.05.026 - DOI - PubMed
    1. Acheson RM, Chan YK, Clemett AR. New Haven survey of joint diseases. XII. Distribution and symptoms of osteoarthrosis in the hands with reference to handedness. Ann Rheum Dis. 1970. May 1;29(3):275–86. doi: 10.1136/ard.29.3.275 - DOI - PMC - PubMed
    1. Martou G, Veltri K, Thoma A. Surgical Treatment of Osteoarthritis of the Carpometacarpal Joint of the Thumb: A Systematic Review: Plast Reconstr Surg. 2004. Aug;114(2):421–32. - PubMed
    1. Hamann N, Heidemann J, Heinrich K, Wu H, Bleuel J, Gonska C, et al.. Effect of Carpometacarpal Joint Osteoarthritis, Sex, and Handedness on Thumb In Vivo Kinematics. J Hand Surg. 2014. Nov;39(11):2161–7. doi: 10.1016/j.jhsa.2014.08.012 - DOI - PubMed
    1. Kawano Y, Nakamura T, Tada M, Nagura T, Matsumoto M, Nakamura M, et al.. Influence of the trapeziometacarpal joint fusion on thumb muscles and thumb-tip movement: A cadaveric study. Clin Biomech. 2019. Jul;67:8–14. doi: 10.1016/j.clinbiomech.2019.04.013 - DOI - PubMed

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