title: Minimally invasive procedure for the stabilization of the painful "prearthritic" carpometacarpal joint of the thumb.
abstract: The painful thumb carpometacarpal joint without arthritic changes with joint laxity is a common condition mainly affecting the female population in their early decades. Despite this, there is a lack of literature on the available treatment options. In the existing literature ligament reconstruction and extension osteotomy have both been described. In these methods the surgical trauma is quite extensive. In this paper, the authors document and present a new minimally invasive procedure for the treatment of this condition. Patients with painful and lax thumb carpometacarpal joint who did not benefit from conservative treatment underwent surgical treatment. The integrity of the cartilage was checked arthroscopically and it was considered an absolute indication to perform the technique consisting of stabilizing the space between the first and second metacarpal base with a suture button device. A standard postoperative protocol followed. No major complications occurred. According to preliminary experience and short-term follow-up results this technique is a comparatively safer, less invasive, and less aggressive procedure.
authors.affiliation: *Orthopedic Department of North Estonia Medical Centre Foundation, Tallinn, Estonia †Hand and Reconstructive Microsurgery Unit, San Pio X Clinic, Milan, Italy.
authors.forename: Kristo
authors.initials: K
authors.lastname: Kask
authors.forename: Giorgio
authors.initials: G
authors.lastname: Pivato
authors.forename: Alessandro
authors.initials: A
authors.lastname: Pozzi
authors.forename: Francesca
authors.initials: F
authors.lastname: Susini
authors.forename: Loris
authors.initials: L
authors.lastname: Pegoli
mesh_terms: D000328:Adult; D001182:Arthroscopy; D052737:Carpometacarpal Joints / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D007593:Joint Instability / Q000000981:diagnostic imaging / Q000517:prevention & control*; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D011859:Radiography; D053441:Suture Anchors; D013933:Thumb