Degenerative arthritis at the triscaphe joint (2022)


RegisterSign in


  • Access throughyour institution

The Journal of Hand Surgery

Volume 15, Issue 2,

March 1990

, Pages 232-235


The clinical presentation of triscaphe arthritis and the results of arthrodesis are presented. Twenty-one patients had triscaphe arthrodesis for treatment of arthritis of the triscaphe joint between 1972 and 1986. Seven also had rotary subluxation of the scaphoid and one had Kienböck's disease. Twenty patients were available for examination at an average of 5 years after operation. All had relief of pain and the average flexion-extension arc was 101 degrees. One patient had a nonunion successfully treated by refusion, and in two patients a dystrophy developed, which was relieved by a stress loading program. No progression of arthritis was seen elsewhere in the wrist.

(Video) Scaphotrapezial Trapezoid (STT) Osteoarthritis

References (16)

  • HK Watson et al.Limited wrist arthrodesis Part I: the triscaphoid joint

    J Hand Surg


  • Ab Swanson et al.Trapezium implant arthroplasty. Long term evaluation of 150 cases

    J Hand Surg


  • WD Rogers et al.Radial styloid impingement following triscaphe arthrodesis

    J Hand Surg


  • HK Watson et al.Treatment of reflex sympathetic dystrophy of the hand with an active “stress loading” program

    J Hand Surg


  • EB Crosby et al.Scaphotrapezial arthrosis

    J Hand Surg


  • HK Watson et al.The SLAC wrist: scapholunate advanced collapse pattern of degenerative arthritis

    J Hand Surg


  • HA Peterson et al.

    Intercarpal arthrodesis

    Arch Surg


  • N Carstam et al.

    Osteoarthritis of the trapezioscaphoid joint

    Acta Orthop Scand


There are more references available in the full text version of this article.

Cited by (18)

  • Scaphotrapeziotrapezoid Arthrodesis: Systematic Review

    2022, Journal of Hand Surgery

    Scaphotrapeziotrapezoid (STT) arthrodesis surgery is used for various types of wrist pathologies. The objective of our study was to perform a systematic review of complications and outcomes after STT arthrodesis.

    (Video) Treating Basal Thumb Joint Arthritis - Mayo Clinic

    Several major databases were used to perform a systematic literature review inorder to obtain articles reporting complications and outcomes following STT arthrodesis.The primary purpose was to identify rates of nonunion and conversion to totalwrist arthrodesis. Secondary outcomes included wrist range of motion, grip strength, and Disabilities of the Arm Shoulder and Hand scores. A multivariable analysis was performed to evaluate factors associated with the primary and secondary outcomes of interest.

    Out of the 854 records identified in the primary literature search, 30 studies wereincluded in the analysis. A total of 1,429 procedures were performed for 1,404 patients. The pooled nonunion rate was 6.3% (95% CI, 3.5–9.9) and the rate of conversion to total wrist arthrodesis following the index STT was 4.2% (95% CI, 2.2–6.7). The mean pooled wrist flexion was 40.7° (95% CI, 30.8–50.5) and extension was 49.7° (95% CI, 43.5–55.8). At final follow-up, the mean pooled grip strength was 75.9% (95% CI, 69.3–82.5) of the nonsurgical contralateral hand. Compared with all other known indications, Kienbock disease had a statistically significant lower nonunion rate (14.1% vs 3.3%, respectively). Mixed-effects linear regression using patient-level data revealed that increasing age was significantly associated with complications, independent of occupation and diagnosis.

    Our study demonstrated a low failure rate and conversion to total wrist arthrodesis after STT arthrodesis and acceptable postoperative wrist range of motion and strength when compared to the contralateral hand.

    Therapeutic IV.

  • Ultrasound-Guided Interventional Procedures of the Wrist and Hand: Anatomy, Indications, and Techniques

    2016, Physical Medicine and Rehabilitation Clinics of North America

    The scaphoid is the most radial bone on the proximal carpal row and articulates with the distal radius, capitate, lunate, trapezium, and trapezoid.13 STT joint arthritis is the second most common pattern of wrist arthritis, observed in up to 15% of radiographic studies and 83.3% of cadaveric specimens.12,14–20 The STT joint is best visualized sonographically using a high-frequency linear-array transducer placed over the palmar aspect of the wrist with the forearm supinated.

  • Anterior traumatic axial disruption of mid carpal joint. Case report with literature review

    2012, Chirurgie de la Main

    Nous rapportons un cas particulier de luxation médiocarpienne radiale à déplacement antérieur survenue après une chute d’un lieu élevé et qui est caractérisée par la séparation de l’ensemble du trapèze, trapézoïde, premier, deuxième et troisième métacarpiens du restant du carpe. Nous l’avons traitée par embrochage après réduction à foyer ouvert. Avec un recul de 12mois, le résultat fonctionnel est satisfaisant avec une bonne force musculaire (force de serrage, force de préhension et pince pollicidigitale: 90% par rapport au côté controlatéral) et une récupération complète de la mobilité du poignet en flexion-extension et des doigts. Le travail a été repris à la dixième semaine. Cette luxation médiocarpienne radiale est rare. Le mécanisme de survenue ainsi que le traitement sont discutés.

    We report a case of traumatic axial disruption of the radial mid carpal joint. This unusual type of scaphotrapezo-trapezoïdal dislocation occurred after falling from a height. We performed open reduction and wire fixation. At 12months follow-up, functional outcome was satisfactory with good muscle strength (clamping force, grip strength and pinch grip: 90% compared to the opposite side) and good range of motion was preserved. Work was resumed at the tenth week. Radial midcarpal disruption is uncommon. It includes the separation of the trapezium, trapezoïdal, first and second and third metacarpal bones from the remaining wrist. This pattern of carpal derangement has not been previously described in the literature. Mechanism of the injury and treatment are discussed.

  • Current trends in nonoperative and operative treatment of trapeziometacarpal osteoarthritis: A survey of US hand surgeons

    2012, Journal of Hand Surgery

    We noted that half the hand surgeons surveyed would choose trapeziectomy/LRTI-type procedures for this problem. Rogers and Watson27 previously reported excellent outcomes for STT fusion in 20 patients with STT arthritis, and one-third of respondents chose this option. Other authors have noted generally good results for STT arthrodesis in isolated STT arthritis28; although Minami et al29 noted in a series of both Kienböck and STT arthritis that 23% of patients developed radioscaphoid arthritis with a mean follow-up of 84 months.

    Multiple procedures have been described for trapeziometacarpal (TM) osteoarthritis with varying levels of evidence support. The purpose of this study was to evaluate current trends in the treatment of TM arthritis by surveying active members of the American Society for Surgery of the Hand.

    We sent an online questionnaire to the e-mail addresses of 2,326 active members of the American Society for Surgery of the Hand, consisting of 5 treatment and 2 demographic questions. Surgeons were contacted twice by e-mail and provided with a link to a de-identified online survey. We performed statistical analysis of correlations between demographics and treatment preferences using chi-square testing.

    We received responses from 1,156 out of 2,326 hand surgeons, a response rate of 50%. The vast majority of surgeons use corticosteroid injections for TM arthritis, and 719 out of 1,156 perform trapeziectomy with ligament reconstruction and tendon interposition (LRTI) for common Eaton stage III arthritis. For scaphotrapeziotrapezoid (STT) arthritis, approximately half of respondents also perform trapeziectomy/LRTI, followed by STT fusion. For a younger woman with minimal radiographic change and pain, 535 out of 1,142 surgeon respondents would advocate continued conservative treatment, whereas the remainder chose Eaton ligament reconstruction, arthroscopy, and metacarpal osteotomy.

    This survey study presents the current opinions of a group of hand surgeons who responded to an online questionnaire regarding treatment of TM arthritis. The results show that trapeziectomy/LRTI is the treatment of choice by most respondents. The use of trapeziectomy/LRTI in the treatment of STT arthritis has not been studied in depth, but this procedure was chosen by half the respondents. The process of choosing treatment strategies is a question for future study.

    (Video) Thumb Basal Joint / CMC Arthritis Treatment - Regenexx Orthopedic Regenerative Treatment

    Prognostic IV.

  • Scaphotrapeziotrapezoid arthrodesis for arthritis

    2005, Hand Clinics

  • A radiographic view of the scaphotrapezium-trapezoid joint

    2005, Journal of Hand Surgery

    Traditionally the scaphotrapezium-trapezoid joint is imaged through a posteroanterior view of the wrist. We describe an x-ray view that is aimed directly at the joint, which gives better visualization than the standard views.

View all citing articles on Scopus

Recommended articles (6)

  • Research article

    Validation of a new 2-D technique for radiographic wear measurement of cemented, highly cross-linked polyethylene acetabular cups

    Medical Engineering & Physics, Volume 47, 2017, pp. 159-166

    A new 2-D radiographic wear measurement system has been developed which enables the low wear of highly cross-linked polyethylene acetabular cups to be accurately and precisely measured from standard, pelvis radiographs. The software was validated using radiographic images of a measurement jig which could vary the cup orientation and simulate the effect of pelvic tilt/rotation. Wear was simulated using accurately measured plastic shims to vary the position of the femoral head relative to the cup. The effects of varying “wear” penetration, “wear” direction, cup orientation and X-ray focus position were assessed. Further direct comparison tests were also carried out using radiostereometric analysis. Inter/intra-observer repeatability of the new system was assessed using clinical radiographs.

    The mean (SD) “wear” penetration error was -0.002mm (0.028mm). The “wear” penetration precision was 0.055mm. Changing the position of the X-ray focus point made no difference to the measurement error. Inter/intra-observer repeatability and limits of agreement had similar low values. Comparison tests with RSA showed the accuracy was similar.

  • Research article

    Smart cities: health and safety for all

    The Lancet Public Health, Volume 2, Issue 9, 2017, p. e398

  • Research article

    Metabolomic (anthropometric and biochemical) indexes and metabolic syndrome in adolescents and young adults with intellectual disabilities

    Research in Developmental Disabilities, Volume 35, Issue 11, 2014, pp. 2987-2992

    (Video) Thumb Arthritis: New Treatment Options

    The aim of the present study was to describe the use of combination of international standardized anthropometric parameters, along with biochemical parameters (metabolomic indexes) to identify metabolic syndrome (MetS), in persons with intellectual disabilities. We conducted a cross-sectional study of 42 adolescents and young adults with intellectual disabilities (aged 13–30years) who attend special schools in Ciudad Juárez, Chihuahua, México. The study included anthropometric (using the International Society for the Advancement of Kineanthropometry recommendations) and biochemical measures, and their combinations as metabolomic-indexes, that can significantly predict MetS occurrence in this vulnerable population. Waist circumference (WC) and relaxed arm circumference, both adjusted for height, have the highest correlation with MetS (R2=0.23–0.47, p<0.01). Besides body mass index (BMI) and WC we propose other indicators such as, skinfolds, hip circumference and relaxed arm circumference, all of them adjusted by height in order to better define the presence of MetS in persons with intellectual disabilities.

  • Research article

    Utility of chest CT for differentiating primary and secondary achalasia

    Clinical Radiology, Volume 69, Issue 10, 2014, pp. 1019-1026

    To determine the computed tomography (CT) findings of primary and secondary achalasia and to assess the utility of CT for differentiating these conditions.

    A computerized search revealed 13 patients with primary achalasia and 15 with secondary achalasia who underwent chest CT during a 10-year period. The images were reviewed to determine whether there was distal oesophageal narrowing (including the length/contour of narrowing), oesophageal dilation, oesophageal wall thickening (including degree/symmetry/pattern of thickening), a soft-tissue mass at the gastro-oesophageal junction, mediastinal adenopathy, or other findings of malignant tumour.

    Eleven (85%) of 13 patients with primary achalasia had distal oesophageal narrowing at CT that was smooth in all patients; four (31%) had oesophageal wall thickening that was smooth and symmetric in all patients; none had a soft-tissue mass at the gastro-oesophageal junction or mediastinal lymphadenopathy; and two (15%) had pulmonary metastases from unrelated lung cancers. In contrast, 12 (80%) of 15 patients with secondary achalasia had distal oesophageal narrowing at CT; 11 (73%) had distal oesophageal wall thickening that was nodular/lobulate and asymmetric in seven (64%) and smooth and symmetric in four (36%); six (40%) had a soft-tissue mass at the gastro-oesophageal junction; seven (47%) had mediastinal lymphadenopathy; and all 15 had other findings of malignant tumour.

    CT is a useful technique for differentiating primary and secondary achalasia. Distal oesophageal wall thickening that is nodular/lobulate and asymmetric, a soft-tissue mass at the gastro-oesophageal junction, mediastinal lymphadenopathy, and pulmonary, hepatic, or osseous metastases are findings that favour secondary achalasia.

  • Research article

    Preoperative CT Findings of Thymoma are Correlated with Postoperative Masaoka Clinical Stage

    Academic Radiology, Volume 20, Issue 1, 2013, pp. 66-72

    Both preoperative computed tomography (CT) staging and postoperative surgical Masaoka clinical staging are of great clinical importance for diagnosing thymomas. Our study aimed to investigate the relationships between these two staging systems.

    This was a retrospective review of 129 patients who had undergone thymoma surgery. Helical CT and 16-slice CT were performed preoperatively. Surgical findings were evaluated according to the Masaoka clinical staging system.

    A significant association was shown between Masaoka clinical staging and CT staging, especially of features including tumor size(P = .004), tumor shape (P < .001), tumor density (P < .001), capsule completeness (P < .001), and involvement of surrounding tissues (P < .001). Based on the CT findings, there were 35.09% of Masaoka stage I patients who had a tumor size <5 cm as compared to 14.81% of stage IV patients. Only 8.77% of Masaoka stage I patients had a tumor size ≥10 cm as compared to 40.74% of stage IV patients. Instages III and IV, most tumors were irregularly shaped with an uneven density and incomplete capsule. Invasive tumors were more frequently found in stages III (81.48%) and IV (88.89%) than in stages I (0%) and II (38.89%). The incidence of myasthenia gravis was comparable in different stages. Consistency between CT and Masaoka clinical stages was higher in stage I (37.98%) than other stages (approximately 10%).

    This study documented a close relationship between preoperative CT thymoma staging and postoperative Masaoka clinical staging. Thus, preoperative CT findings can be beneficial for determining the proper management and prognosis of thymoma patients.

  • Research article

    Pictorial Essay: Tumours and Pseudotumours of Sacrum

    Canadian Association of Radiologists Journal, Volume 65, Issue 2, 2014, pp. 113-120

    (Video) STT Fusion

View full text

Copyright © 1990 Published by Elsevier Inc.


1. Ultrasound of Arthritis Gout, Psoriatic, Degenerative, Seronegative
(Radiology Video - radiology made esay)
2. The Anchovy Procedure for Thumb Basal Joint Arthritis
3. Wrist and Hand Joints - 3D Anatomy Tutorial
4. What is Osteoarthritis? Diagnosis and Patient Info | Hand Osteoarthritis
5. Arthritic thumb (OA) - try this superb Kinesio taping technique
(John Gibbons)
6. 28. Biomechanics Chapter-2 (Joint Function).
(The Stoned Physio)

You might also like

Latest Posts

Article information

Author: Aron Pacocha

Last Updated: 10/07/2022

Views: 6255

Rating: 4.8 / 5 (68 voted)

Reviews: 83% of readers found this page helpful

Author information

Name: Aron Pacocha

Birthday: 1999-08-12

Address: 3808 Moen Corner, Gorczanyport, FL 67364-2074

Phone: +393457723392

Job: Retail Consultant

Hobby: Jewelry making, Cooking, Gaming, Reading, Juggling, Cabaret, Origami

Introduction: My name is Aron Pacocha, I am a happy, tasty, innocent, proud, talented, courageous, magnificent person who loves writing and wants to share my knowledge and understanding with you.