Surgical options and outcomes for treatment of osteoarthritis of the scaphotrapeziotrapezoidal joint.

Abstract

Osteoarthritis of the scaphotrapeziotrapezoidal joint is frequent but often pain-free or well tolerated with non-surgical treatment. Surgical options are numerous and none seems to have clear evidence of superiority. In addition to well-established procedures, such as scaphotrapeziotrapezoidal joint arthrodesis, distal scaphoid resection and trapeziectomy, more recent surgical techniques have been reported. These include scaphotrapeziotrapezoidal arthroplasty and arthroscopic treatment. This article provides an overview of the procedures and their outcomes that can be proposed for isolated scaphotrapeziotrapezoidal joint osteoarthritis and when combined with symptomatic osteoarthritis of the thumb carpometacarpal joint or of the radiocarpal and midcarpal joints.