Assessment Strategies for First Web Space Contracture.

Abstract

First web space contracture is a common and potentially debilitating condition that impairs thumb positioning and compromises pinch and grasp. The complex, three-dimensional anatomy of the web space and the intricate biomechanics of the thumb contribute to substantial variability in both assessment methods and treatment strategies. At present, there is no universally accepted framework for defining, classifying, or measuring outcomes in first web space contracture. This review aims to synthesize current strategies for assessment and outcome evaluation, highlighting their limitations and areas of inconsistency. By clarifying existing methodologies and identifying gaps in the literature, this article aims to provide a foundation for more standardized, clinically meaningful evaluation and management of first web space contracture.