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World J Rheumatol. Jul 12, 2015; 5(2): 90-95
Published online Jul 12, 2015. doi: 10.5499/wjr.v5.i2.90
Current review of trapeziometacarpal osteoarthritis (rhizarthrosis)
Onur Bilge, Nazim Karalezli
Onur Bilge, Nazim Karalezli, Department of Orthopaedics and Traumatology, Meram Faculty of Medicine, Konya Necmettin Erbakan University, 42000 Konya, Turkey
Onur Bilge, Nazim Karalezli, Department of Sports Medicine, Meram Faculty of Medicine, Konya Necmettin Erbakan University, 42000 Konya, Turkey
Author contributions: Bilge O and Karalezli N designed research, performed research, contributed new reagents or analytic tools, analyzed data and wrote the paper.
Conflict-of-interest statement: The authors have no conflict of interest.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Onur Bilge, MD, FEBOT, Assistant Professor, Department of Orthopaedics and Traumatology, Meram Faculty of Medicine, Konya Necmettin Erbakan University, Yunus Emre, Mah, Beysehir Cevre Yolu Cad. Meram, 42000 Konya, Turkey. onurbilgemd@gmail.com
Telephone: +90-332-2237220 Fax: +90-332-2236182
Received: June 28, 2014
Peer-review started: June 29, 2014
First decision: November 27, 2014
Revised: December 5, 2014
Accepted: March 16, 2015
Article in press: March 18, 2015
Published online: July 12, 2015
Abstract

Trapeziometacarpal (TMC) joint is the secondly affected joint for osteoarthritis in the hand. TMC joint arthritis affects most commonly postmenopausal women after the fifth decade of life, due to hormonal and structural factors. Rhizarthrosis may lead to a clinical spectrum from subtle symptoms to advanced symptoms such as; severe pain, limitation of range of motion, muscular weakness, bony deformities, and end up ultimately with disability. Regardless of the etiopathogenesis; a variety of non-surgical and surgical methods have been used for the treatment of rhizarthrosis, depending on the age of the patient, symptomatology and the stage of the disease. The main goals of the treatments are as follows; relief of pain, conservation or restoration the stability and mobility of the TMC joint with the optimal preservation of the strength of surrounding musculature. In this article, the current methods, which have been used for the treatment of TMC joint osteoarthritis, will be mainly reviewed, together with concise up-to-date information on both its diagnosis and the anatomy of the TMC joint.

Keywords: Osteoarthritis, Thumb, Trapeziometacarpal joint, Rhizarthrosis

Core tip: The trapeziometacarpal joint is a common region in the body, where osteoarthritis is encountered, especially in the postmenopausal women. Although the exact etiology is not still certain, ligamentous laxity is a common finding in most of the cases. Regarding to the existing literature, the most commonly used treatment methods are conservative measures and trapeziectomy with ligament reconstruction tendon interposition. Moreover newer treatment methods have emerged in the recent years. In conclusion, if long-term prospective, randomized, comparative studies are performed, there will be an appropriate answer to choose the optimal treatment methods for each stage of rhizarthrosis.