Florian Falkner1,2, Mahmut Arman Tümkaya3,4, Benjamin Thomas3,4, Amir K Bigdeli3,4, Ulrich Kneser3,4, Leila Harhaus3,4, Berthold Bickert3,4. 1. Hand‑, Plastische und Rekonstruktive Chirurgie, Mikrochirurgie, Schwerbrandverletztenzentrum, BG Klinik Ludwigshafen, Ludwig-Guttmann-Str. 13, 67071, Ludwigshafen, Deutschland. florian.falkner@bgu-ludwigshafen.de. 2. Hand‑, Plastische und Rekonstruktive Chirurgie, Universität Heidelberg, Heidelberg, Deutschland. florian.falkner@bgu-ludwigshafen.de. 3. Hand‑, Plastische und Rekonstruktive Chirurgie, Mikrochirurgie, Schwerbrandverletztenzentrum, BG Klinik Ludwigshafen, Ludwig-Guttmann-Str. 13, 67071, Ludwigshafen, Deutschland. 4. Hand‑, Plastische und Rekonstruktive Chirurgie, Universität Heidelberg, Heidelberg, Deutschland.
Abstract
BACKGROUND: There are numerous non-surgical treatment options for basal thumb osteoarthritis (OA). OBJECTIVES: Aetiology, clinical appearance and diagnosis of basal thumb OA, explanation of the individual non-surgical treatment options, presentation of the current state of studies. MATERIAL AND METHODS: Search for case analyses, studies, systematic reviews and meta-analyses using PubMed and LIVIVO. RESULTS: Intraarticular injections have no more than short-term success with the risk of infection, which should not be underestimated. Radiotherapy seems to be an effective treatment, but little research has been done on this. Physiotherapy and splinting treatment promise long-term improvement of clinical symptoms and hand function. CONCLUSION: Basal thumb OA is a common and serious condition, which in the case of continuous pain should be diagnosed and treated adequately. A multi-modal therapeutic regimen with avoidance of repetitive intra-articular injections seems to provide the best long-term results.
BACKGROUND: There are numerous non-surgical treatment options for basal thumb osteoarthritis (OA). OBJECTIVES: Aetiology, clinical appearance and diagnosis of basal thumb OA, explanation of the individual non-surgical treatment options, presentation of the current state of studies. MATERIAL AND METHODS: Search for case analyses, studies, systematic reviews and meta-analyses using PubMed and LIVIVO. RESULTS: Intraarticular injections have no more than short-term success with the risk of infection, which should not be underestimated. Radiotherapy seems to be an effective treatment, but little research has been done on this. Physiotherapy and splinting treatment promise long-term improvement of clinical symptoms and hand function. CONCLUSION: Basal thumb OA is a common and serious condition, which in the case of continuous pain should be diagnosed and treated adequately. A multi-modal therapeutic regimen with avoidance of repetitive intra-articular injections seems to provide the best long-term results.
Authors: Markus Loibl; Siegmund Lang; Lena-Marie Dendl; Michael Nerlich; Peter Angele; Sebastian Gehmert; Michaela Huber Journal: Biomed Res Int Date: 2016-07-05 Impact factor: 3.411