Three-dimensional motion analysis of pre- and postoperative thumb movement in trapeziometacarpal joint osteoarthritis-Comparison of arthrodesis and trapeziectomy with suspensionplasty

Trapeziometacarpal osteoarthritis (TMC-OA) reduces the range of motion (ROM) of the thumb. However, the kinematic change achieved through surgical treatment remains unclear. Therefore, to quantify the kinematic change following TMC-OA surgery, we performed a three-dimensional motion analysis of the...

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Bibliographic Details
Published in:PloS one 2024-05, Vol.19 (5), p.e0302898-e0302898
Main Authors: Tanaka, Teruyasu, Kodama, Akira, Kurumadani, Hiroshi, Tanimoto, Kaguna, Ishibashi, Shigeki, Munemori, Masaru, Sunagawa, Toru, Adachi, Nobuo
Format: Article
Language:English
Subjects:
Adult
Advertising executives
Aged
Arm
Arthritis
Arthrodesis
Arthrodesis - methods
Biology and Life Sciences
Biomechanical Phenomena
Carpometacarpal Joints - physiopathology
Carpometacarpal Joints - surgery
Comparative analysis
Female
Fingers & toes
Humans
Kinematics
Male
Medicine and Health Sciences
Middle Aged
Motion capture
Movement
Osteoarthritis
Osteoarthritis - physiopathology
Osteoarthritis - surgery
Patients
People and Places
Physical Sciences
Postoperative Period
Questionnaires
Range of Motion, Articular
Surgeons
Surgery
Three dimensional analysis
Three dimensional motion
Thumb - physiopathology
Thumb - surgery
Trapezium Bone - physiopathology
Trapezium Bone - surgery
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Summary:Trapeziometacarpal osteoarthritis (TMC-OA) reduces the range of motion (ROM) of the thumb. However, the kinematic change achieved through surgical treatment remains unclear. Therefore, to quantify the kinematic change following TMC-OA surgery, we performed a three-dimensional motion analysis of the thumb using an optical motion capture system preoperatively and 1 year postoperatively in 23 patients with TMC-OA scheduled for arthrodesis (AD) or trapeziectomy with suspensionplasty (TS). Eighteen hands of nine healthy volunteers were also included as controls. Both procedures improved postoperative pain and Disability of the Arm, Shoulder and Hand scores, and AD increased pinch strength. The ROM of the base of the thumb was preserved in AD, which was thought to be due to the appearance of compensatory movements of adjacent joints even if the ROM of the TMC joint was lost. TS did not improve ROM. Quantifying thumb kinematic changes following TMC-OA surgery can improve our understanding of TMC-OA treatment and help select surgical procedures and postoperative assessment.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0302898