Basal joint arthroplasty decreases carpal tunnel pressure

Hand : Official Journal of the American Association for Hand Surgery
Kevin LutskyPedro Beredjiklian

Abstract

There is a well-documented association between carpal tunnel syndrome (CTS) and thumb carpometacarpal (CMC) arthritis, and these conditions commonly coexist. We have observed that patients who have previously undergone thumb basal joint arthroplasty (BJA) seem rarely to present subsequently with CTS. Our hypothesis is that BJA decreases the pressure within the carpal tunnel. Twenty-eight patients (6 with coexistent CTS) undergoing BJA were enrolled in the study. The pressure within the carpal tunnel immediately before and after BJA was measured using a commercially available pressure monitor device (Stryker STIC; Kalamazoo, MI). In patients with concomitant CTS undergoing both BJA and carpal tunnel release (CTR), the pressure was measured after BJA but prior to release of the transverse carpal ligament. The pressure within the carpal tunnel decreased after BJA in all patients. There were 3 patients with stage II arthritis, 15 patients with stage III arthritis, and 10 patients with stage IV arthritis. The mean pressure prior to BJA among all patients was 23.9 mmHg and decreased to 11.0 mmHg after BJA. Patients with concomitant CTS had a mean pre-BJA pressure of 26.5 mmHg, which decreased to 7.3 mmHg after BJA. BJA decompresses t...Continue Reading

References

May 1, 1978·The Journal of Hand Surgery·E B CrosbyJ H Dobyns
Jul 1, 1987·Clinical Orthopaedics and Related Research·C P MeloneA Isani
Feb 4, 2003·The Journal of Hand Surgery·Charles A GoldfarbDennis K Bielecki
Dec 4, 2004·The Journal of Hand Surgery·Charles CassidyLeonard K Ruby
Sep 3, 2008·The Journal of Hand Surgery·Matthew S Hepinstall, S Steven Yang
Dec 3, 2008·The Journal of Bone and Joint Surgery. American Volume·Brent Graham

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Citations

May 1, 2018·Plastic and Reconstructive Surgery. Global Open·Achilleas ThomaEric Duku
Sep 23, 2021·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Ignacio Esteban-FeliuAlejandro Lluch-Bergadà

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