Necessity of Immobilizing the Metacarpophalangeal Joint in Carpometacarpal Osteoarthritis: Short-Term Effect

Raquel Cantero-Téllez, Kristin Valdes, Deborah A. Schwartz, Ivan Medina-Porqueres, Jean Christophe Arias, Jorge H. Villafañe

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Background: Conservative treatment for carpometacarpal (CMC) joint osteoarthritis (OA) may include orthotic fabrication to decrease pain. Different types of orthoses have been used as conservative interventions to improve symptoms, but there are no guidelines specifying if inclusion of the thumb metacarpophalangeal (MCP) in an orthosis is required in the treatment of thumb CMC joint OA. The main objective of this study is to determine the effectiveness of 2 different thumb CMC joint orthotic designs on pain reduction and improved hand function: one design immobilizes both the MCP joint and the CMC joint and the other design immobilizes only the CMC joint. Methods: A total of 66 patients were included in the study. One group of 33 patients received a short thumb orthosis with the MCP joint excluded, and the other group of 33 patients received a short thumb orthosis with the MCP joint included. Outcomes measures included the visual analog scale for pain and the Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH; Spanish version) for function. Results: In both patient groups, the orthoses contributed to decreased pain levels and improved functional abilities (F1.0 = 315.467 and F1.0 = 72.419; both, P <.001). There was no significant difference between the 2 groups regarding pain or improvement in daily activities (F1.0 = 0.553 and F1.0 = 2.539; both, P >.05). Conclusion: There are benefits of either thumb orthotic design on pain reduction and functional improvement even after 1 week of using the orthoses as the sole conservative treatment.

Original languageEnglish
JournalHand
DOIs
Publication statusAccepted/In press - May 1 2017

Fingerprint

Metacarpophalangeal Joint
Orthotic Devices
Carpometacarpal Joints
Thumb
Osteoarthritis
Pain
Hand
Aptitude
Pain Measurement
Arm
Outcome Assessment (Health Care)
Guidelines

Keywords

  • carpometacarpal joint
  • hand function
  • osteoarthritis
  • thumb orthoses
  • thumb pain

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Necessity of Immobilizing the Metacarpophalangeal Joint in Carpometacarpal Osteoarthritis : Short-Term Effect. / Cantero-Téllez, Raquel; Valdes, Kristin; Schwartz, Deborah A.; Medina-Porqueres, Ivan; Arias, Jean Christophe; Villafañe, Jorge H.

In: Hand, 01.05.2017.

Research output: Contribution to journalArticle

Cantero-Téllez, Raquel ; Valdes, Kristin ; Schwartz, Deborah A. ; Medina-Porqueres, Ivan ; Arias, Jean Christophe ; Villafañe, Jorge H. / Necessity of Immobilizing the Metacarpophalangeal Joint in Carpometacarpal Osteoarthritis : Short-Term Effect. In: Hand. 2017.
@article{14fad242724c49778850cb3b6266be6e,
title = "Necessity of Immobilizing the Metacarpophalangeal Joint in Carpometacarpal Osteoarthritis: Short-Term Effect",
abstract = "Background: Conservative treatment for carpometacarpal (CMC) joint osteoarthritis (OA) may include orthotic fabrication to decrease pain. Different types of orthoses have been used as conservative interventions to improve symptoms, but there are no guidelines specifying if inclusion of the thumb metacarpophalangeal (MCP) in an orthosis is required in the treatment of thumb CMC joint OA. The main objective of this study is to determine the effectiveness of 2 different thumb CMC joint orthotic designs on pain reduction and improved hand function: one design immobilizes both the MCP joint and the CMC joint and the other design immobilizes only the CMC joint. Methods: A total of 66 patients were included in the study. One group of 33 patients received a short thumb orthosis with the MCP joint excluded, and the other group of 33 patients received a short thumb orthosis with the MCP joint included. Outcomes measures included the visual analog scale for pain and the Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH; Spanish version) for function. Results: In both patient groups, the orthoses contributed to decreased pain levels and improved functional abilities (F1.0 = 315.467 and F1.0 = 72.419; both, P <.001). There was no significant difference between the 2 groups regarding pain or improvement in daily activities (F1.0 = 0.553 and F1.0 = 2.539; both, P >.05). Conclusion: There are benefits of either thumb orthotic design on pain reduction and functional improvement even after 1 week of using the orthoses as the sole conservative treatment.",
keywords = "carpometacarpal joint, hand function, osteoarthritis, thumb orthoses, thumb pain",
author = "Raquel Cantero-T{\'e}llez and Kristin Valdes and Schwartz, {Deborah A.} and Ivan Medina-Porqueres and Arias, {Jean Christophe} and Villafa{\~n}e, {Jorge H.}",
year = "2017",
month = "5",
day = "1",
doi = "10.1177/1558944717708031",
language = "English",
journal = "Hand",
issn = "1753-1934",
publisher = "SAGE Publications Ltd",

}

TY - JOUR

T1 - Necessity of Immobilizing the Metacarpophalangeal Joint in Carpometacarpal Osteoarthritis

T2 - Short-Term Effect

AU - Cantero-Téllez, Raquel

AU - Valdes, Kristin

AU - Schwartz, Deborah A.

AU - Medina-Porqueres, Ivan

AU - Arias, Jean Christophe

AU - Villafañe, Jorge H.

PY - 2017/5/1

Y1 - 2017/5/1

N2 - Background: Conservative treatment for carpometacarpal (CMC) joint osteoarthritis (OA) may include orthotic fabrication to decrease pain. Different types of orthoses have been used as conservative interventions to improve symptoms, but there are no guidelines specifying if inclusion of the thumb metacarpophalangeal (MCP) in an orthosis is required in the treatment of thumb CMC joint OA. The main objective of this study is to determine the effectiveness of 2 different thumb CMC joint orthotic designs on pain reduction and improved hand function: one design immobilizes both the MCP joint and the CMC joint and the other design immobilizes only the CMC joint. Methods: A total of 66 patients were included in the study. One group of 33 patients received a short thumb orthosis with the MCP joint excluded, and the other group of 33 patients received a short thumb orthosis with the MCP joint included. Outcomes measures included the visual analog scale for pain and the Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH; Spanish version) for function. Results: In both patient groups, the orthoses contributed to decreased pain levels and improved functional abilities (F1.0 = 315.467 and F1.0 = 72.419; both, P <.001). There was no significant difference between the 2 groups regarding pain or improvement in daily activities (F1.0 = 0.553 and F1.0 = 2.539; both, P >.05). Conclusion: There are benefits of either thumb orthotic design on pain reduction and functional improvement even after 1 week of using the orthoses as the sole conservative treatment.

AB - Background: Conservative treatment for carpometacarpal (CMC) joint osteoarthritis (OA) may include orthotic fabrication to decrease pain. Different types of orthoses have been used as conservative interventions to improve symptoms, but there are no guidelines specifying if inclusion of the thumb metacarpophalangeal (MCP) in an orthosis is required in the treatment of thumb CMC joint OA. The main objective of this study is to determine the effectiveness of 2 different thumb CMC joint orthotic designs on pain reduction and improved hand function: one design immobilizes both the MCP joint and the CMC joint and the other design immobilizes only the CMC joint. Methods: A total of 66 patients were included in the study. One group of 33 patients received a short thumb orthosis with the MCP joint excluded, and the other group of 33 patients received a short thumb orthosis with the MCP joint included. Outcomes measures included the visual analog scale for pain and the Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH; Spanish version) for function. Results: In both patient groups, the orthoses contributed to decreased pain levels and improved functional abilities (F1.0 = 315.467 and F1.0 = 72.419; both, P <.001). There was no significant difference between the 2 groups regarding pain or improvement in daily activities (F1.0 = 0.553 and F1.0 = 2.539; both, P >.05). Conclusion: There are benefits of either thumb orthotic design on pain reduction and functional improvement even after 1 week of using the orthoses as the sole conservative treatment.

KW - carpometacarpal joint

KW - hand function

KW - osteoarthritis

KW - thumb orthoses

KW - thumb pain

UR - http://www.scopus.com/inward/record.url?scp=85041592255&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85041592255&partnerID=8YFLogxK

U2 - 10.1177/1558944717708031

DO - 10.1177/1558944717708031

M3 - Article

AN - SCOPUS:85041592255

JO - Hand

JF - Hand

SN - 1753-1934

ER -