Research progress in etiology and clinical diagnosis and treatment of scaphotrapeziotrapezoid osteoarthritis_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

ZHANG Bihuan ¹ , CAI Xingbo ² , WANG Bin ¹ , ZHANG Yue ¹ ,  XU Yongqing ²

1. Graduate School of Kunming Medical University, Kunming Yunnan, 650500, P. R. China;
2. Department of Orthopedics, the 920th Hospital of Joint Logistics Support Force of Chinese PLA, Kunming Yunnan, 650032, P. R. China;

Corresponding author：

XU Yongqing, Email: xuyongqingkm@163.net

Keywords：

Scaphotrapeziotrapezoid osteoarthritis; distal scaphoid resection; trapezium resection; arthrodesis; arthroplasty

DOI：

10.7507/1002-1892.202207123

Video：

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Objective To summarize the research progress of scaphotrapeziotrapezoid osteoarthritis (STT OA) and its etiology and clinical treatment. Methods The domestic and foreign literature on STT OA in recent years was reviewed and the research progress was summarized. Results STT OA is a common OA, which is highly prevalent in postmenopausal women and diagnosed by wrist X-ray films. The current treatment methods include conservative treatment and surgery. Among them, the conservative treatment can relieve clinical symptoms, but the long-term effectiveness is not ideal. In surgical treatment, scaphoid arthrodesis can effectively relieve wrist pain, but it sacrifices part of the range of motion and grip strength of the wrist, and there is a risk of fusion failure. Distal scaphoid resection and trapezium resection have the advantages of short operation time, simple operation, less damage to the joint capsule and ligament, and shorter postoperative external fixation time, but they lead to changes in carpal bone alignment and dorsal intercalated segmental instability. Arthroplasty can provide pain relief while restoring grip strength and preserving wrist motion, but there is a risk of dislocation of the prosthesis. Conclusion At present, there is no gold standard for the STT OA treatment. The short-term effectiveness of arthroplasty and arthroscopic distal scaphoid resection are satisfactory, but the long-term effectiveness needs further study.

Citation： ZHANG Bihuan, CAI Xingbo, WANG Bin, ZHANG Yue, XU Yongqing. Research progress in etiology and clinical diagnosis and treatment of scaphotrapeziotrapezoid osteoarthritis. Chinese Journal of Reparative and Reconstructive Surgery, 2023, 37(1): 101-105. doi: 10.7507/1002-1892.202207123 Copy

1.	Moritomo H, Viegas SF, Nakamura K, et al. The scaphotrapezio-trapezoidal joint. Part 1: An anatomic and radiographic study. J Hand Surg (Am), 2000, 25(5): 899-910.
2.	Da Rin F, Mathoulin C. Arthroscopic treatment of osteoarthritis of scaphotrapezotrapezoid joint. Chir Main, 2006, 25S1: S254-S258.
3.	Viegas SF, Patterson RM, Hokanson JA, et al. Wrist anatomy: incidence, distribution, and correlation of anatomic variations, tears, and arthrosis. J Hand Surg (Am), 1993, 18(3): 463-475.
4.	Armstrong AL, Hunter JB, Davis TR. The prevalence of degenerative arthritis of the base of the thumb in post-menopausal women. J Hand Surg (Br), 1994, 19(3): 340-341.
5.	Tonkin MA, Stern HS. Spontaneous rupture of the flexor carpi radialis tendon. J Hand Surg (Br), 1991, 16(1): 72-74.
6.	Parellada AJ, Morrison WB, Reiter SB, et al. Flexor carpi radialis tendinopathy: spectrum of imaging findings and association with triscaphe arthritis. Skeletal Radiol, 2006, 35(8): 572-578.
7.	Saffar P. Chondrocalcinosis of the wrist. J Hand Surg (Br), 2004, 29(5): 486-493.
8.	Scordino LE, Bernstein J, Nakashian M, et al. Radiographic prevalence of scaphotrapeziotrapezoid osteoarthrosis. J Hand Surg (Am), 2014, 39(9): 1677-1682.
9.	McLean JM, Turner PC, Bain GI, et al. An association between lunate morphology and scaphoid-trapezium-trapezoid arthritis. J Hand Surg (Eur Vol), 2009, 34(6): 778-782.
10.	Wilhelm K, Rolle A, Hild A. The scaphoid-trapezium-trapezoid arthrosis. A clinical study 1982-1985. Unfallchirurg, 1989, 92(2): 59-63.
11.	Ferris BD, Dunnett W, Lavelle JR. An association between scapho-trapezio-trapezoid osteoarthritis and static dorsal intercalated segment instability. J Hand Surg (Br), 1994, 19(3): 338-339.
12.	Pegoli L, Pozzi A. Arthroscopic management of scaphoid-trapezium-trapezoid joint arthritis. Hand Clin, 2017, 33(4): 813-817.
13.	Wolf JM. Treatment of scaphotrapezio-trapezoid arthritis. Hand Clin, 2008, 24(3): 301-306.
14.	van der Westhuizen J, Mennen U. A working classification for the management of scapho-trapezium-trapezoidosteo-arthritis. Hand Surg, 2010, 15(3): 203-210.
15.	White L, Clavijo J, Gilula LA, et al. Classification system for isolated arthritis of the scaphotrapeziotrapezoidal joint. Scand J Plast Reconstr Surg Hand Surg, 2010, 44(2): 112-117.
16.	Martini K, Becker AS, Guggenberger R, et al. Value of tomosynthesis for lesion evaluation of small joints in osteoarthritic hands using the OARSI score. Osteoarthritis Cartilage, 2016, 24(7): 1167-1171.
17.	Canella C, Philippe P, Pansini V, et al. Use of tomosynthesis for erosion evaluation in rheumatoid arthritic hands and wrists. Radiology, 2011, 258(1): 199-205.
18.	Mathiessen A, Hammer HB, Terslev L, et al. Ultrasonography of inflammatory and structural lesions in hand osteoarthritis: An outcome measures in rheumatology agreement and reliability study. Arthritis Care Res (Hoboken), 2021. doi: 10.1002/acr.24734.
19.	Cobb T, Sterbank P, Lemke J. Arthroscopic resection arthroplasty for treatment of combined carpometacarpal and scaphotrapeziotrapezoid (pantrapezial) arthritis. J Hand Surg (Am), 2011, 36(3): 413-419.
20.	Weiss S, LaStayo P, Mills A, et al. Prospective analysis of splinting the first carpometacarpal joint: an objective, subjective, and radiographic assessment. J Hand Ther, 2000, 13(3): 218-226.
21.	Day CS, Gelberman R, Patel AA, et al. Basal joint osteoarthritis of the thumb: a prospective trial of steroid injection and splinting. J Hand Surg (Am), 2004, 29(2): 247-251.
22.	Catalano LW, Ryan DJ, Barron OA, et al. Surgical management of scaphotrapeziotrapezoid arthritis. J Am Acad Orthop Surg, 2020, 28(6): 221-228.
23.	夏雷, 许玉本, 杨瑞泽, 等. 关节融合术治疗拇指腕掌关节炎18例长期随访观察. 中华手外科杂志, 2021, 37(1): 68-70.
24.	Cholley-Roulleau M, Dap F, Dautel G, et al. Scaphotrapeziotrapezoid arthrodesis for isolated osteoarthritis: results at a mean 8 years’ follow-up. Hand Surg Rehabil, 2021, 40(5): 602-608.
25.	徐永清. 镍钛记忆合金舟大小融合器治疗月骨无菌性坏死的临床应用研究//第九届西部骨科论坛论文集. 银川: 宁夏医学会, 2013.
26.	Meier R, Prommersberger KJ, Krimmer H. Scapho-trapezio-trapezoid arthrodesis (triscaphe arthrodesis). Handchir Mikrochir Plast Chir, 2003, 35(5): 323-327.
27.	Watson HK, Wollstein R, Joseph E, et al. Scaphotrapeziotrapezoid arthrodesis: a follow-up study. J Hand Surg (Am), 2003, 28(3): 397-404.
28.	Goubier JN, Bauer B, Alnot JY, et al. Scapho-trapezio-trapezoidal arthrodesis for scapho-trapezio-trapezoidal osteoarthritis. Chir Main, 2006, 25(5): 179-184.
29.	Rogers MJ, Lu CC, Stephens AR, et al. Scaphotrapeziotrapezoid arthrodesis: A 10-year follow-up study of complications in 58 wrists. Hand (N Y), 2022, 17(5): 919-925.
30.	Deren ME, Mitchell CH, Weiss AC. Flexor tendon ruptures after distal scaphoid excision for scaphotrapeziotrapezoid osteoarthritis. Hand (N Y), 2017, 12(5): NP152-NP156.
31.	Berkhout MJ, Bachour Y, Wessing D, et al. Distal pole resection of the scaphoid for the treatment of scaphotrapeziotrapezoid osteoarthritis. Hand (N Y), 2019, 14(2): 230-235.
32.	Iida A, Omokawa S, Kawamura K, et al. Arthroscopic distal scaphoid resection for isolated scaphotrapeziotrapezoid osteoarthritis. J Hand Surg (Am), 2019, 44(4): 337.e1-337.e5.
33.	Normand J, Desmoineaux P, Boisrenoult P, et al. The arthroscopic distal pole resection of the scaphoid: clinical results in STT osteoarthritis. Chir Main, 2012, 31(1): 13-17.
34.	Ashwood N, Bain GI, Fogg Q. Results of arthroscopic debridement for isolated scaphotrapeziotrapezoid arthritis. J Hand Surg (Am), 2003, 28(5): 729-732.
35.	Andrachuk J, Yang SS. Modified total trapezial and partial trapezoidal excision and ligament reconstruction tendon interposition reduces symptoms in isolated scaphotrapezial-trapezoid arthritis of the wrist. J Hand Surg (Eur Vol), 2012, 37(7): 637-641.
36.	Langenhan R, Hohendorff B, Probst A. Trapeziectomy and ligament reconstruction tendon interposition for isolated scaphotrapeziotrapezoid osteoarthritis of the wrist. J Hand Surg (Eur Vol), 2014, 39(8): 833-837.
37.	Moreno R, Bhandari L. FCR interposition arthroplasty for concomitant STT and CMC arthritis. Tech Hand Up Extrem Surg, 2019, 23(1): 10-13.
38.	Raptis K, Koutserimpas C, Bavelou A, et al. Excisional arthroplasty for isolated scaphotrapeziotrapezoidal arthritis with the use of palmaris longus tendon. Maedica (Bucur), 2021, 16(3): 415-419.
39.	Smith RJ, Atkinson RE, Jupiter JB. Silicone synovitis of the wrist. J Hand Surg (Am), 1985, 10(1): 47-60.
40.	Low AK, Edmunds IA. Isolated scaphotrapeziotrapezoid osteoarthritis: preliminary results of treatment using a pyrocarbon implant. Hand Surg, 2007, 12(2): 73-77.
41.	Gauthier E, Truffandier MV, Gaisne E, et al. Treatment of scaphotrapeziotrapezoid osteoarthritis with the Pyrocardan^® implant: Results with a minimum follow-up of 2 years. Hand Surg Rehabil, 2017, 36(2): 113-121.
42.	Humada Álvarez G, Simón Pérez C, García Medrano B, et al. Isolated scaphotrapeziotrapezoid osteoarthritis treatment using resurfacing arthroplasty with scaphoid anchorage. Rev Esp Cir Ortop Traumatol, 2017, 61(6): 412-418.
43.	Jehan S, Javaid IH, Javaid MM, et al. The surgical management for isolated scaphotrapeziotrapezoid (STT) osteoarthritis: a systematic review of the literature. Acta Orthop Belg, 2020, 86(1): 137-145.
44.	Pequignot JP, D’asnieres de Veigy L, Allieu Y. Arthroplasty for scaphotrapeziotrapezoidal arthrosis using a pyrolytic carbon implant. Preliminary results. Chir Main, 2005, 24(3-4): 148-152.
45.	Chaves C, Bellemère P. Double trapeziometacarpal and scaphotrapeziotrapezoidal pyrocarbon interposition implants for pantrapezial arthritis: Midterm results and surgical technique. Orthop Traumatol Surg Res, 2021, 107(5): 102979. doi: 10.1016/j.otsr.2021.102979.

1. Moritomo H, Viegas SF, Nakamura K, et al. The scaphotrapezio-trapezoidal joint. Part 1: An anatomic and radiographic study. J Hand Surg (Am), 2000, 25(5): 899-910.
2. Da Rin F, Mathoulin C. Arthroscopic treatment of osteoarthritis of scaphotrapezotrapezoid joint. Chir Main, 2006, 25S1: S254-S258.
3. Viegas SF, Patterson RM, Hokanson JA, et al. Wrist anatomy: incidence, distribution, and correlation of anatomic variations, tears, and arthrosis. J Hand Surg (Am), 1993, 18(3): 463-475.
4. Armstrong AL, Hunter JB, Davis TR. The prevalence of degenerative arthritis of the base of the thumb in post-menopausal women. J Hand Surg (Br), 1994, 19(3): 340-341.
5. Tonkin MA, Stern HS. Spontaneous rupture of the flexor carpi radialis tendon. J Hand Surg (Br), 1991, 16(1): 72-74.
6. Parellada AJ, Morrison WB, Reiter SB, et al. Flexor carpi radialis tendinopathy: spectrum of imaging findings and association with triscaphe arthritis. Skeletal Radiol, 2006, 35(8): 572-578.
7. Saffar P. Chondrocalcinosis of the wrist. J Hand Surg (Br), 2004, 29(5): 486-493.
8. Scordino LE, Bernstein J, Nakashian M, et al. Radiographic prevalence of scaphotrapeziotrapezoid osteoarthrosis. J Hand Surg (Am), 2014, 39(9): 1677-1682.
9. McLean JM, Turner PC, Bain GI, et al. An association between lunate morphology and scaphoid-trapezium-trapezoid arthritis. J Hand Surg (Eur Vol), 2009, 34(6): 778-782.
10. Wilhelm K, Rolle A, Hild A. The scaphoid-trapezium-trapezoid arthrosis. A clinical study 1982-1985. Unfallchirurg, 1989, 92(2): 59-63.
11. Ferris BD, Dunnett W, Lavelle JR. An association between scapho-trapezio-trapezoid osteoarthritis and static dorsal intercalated segment instability. J Hand Surg (Br), 1994, 19(3): 338-339.
12. Pegoli L, Pozzi A. Arthroscopic management of scaphoid-trapezium-trapezoid joint arthritis. Hand Clin, 2017, 33(4): 813-817.
13. Wolf JM. Treatment of scaphotrapezio-trapezoid arthritis. Hand Clin, 2008, 24(3): 301-306.
14. van der Westhuizen J, Mennen U. A working classification for the management of scapho-trapezium-trapezoidosteo-arthritis. Hand Surg, 2010, 15(3): 203-210.
15. White L, Clavijo J, Gilula LA, et al. Classification system for isolated arthritis of the scaphotrapeziotrapezoidal joint. Scand J Plast Reconstr Surg Hand Surg, 2010, 44(2): 112-117.
16. Martini K, Becker AS, Guggenberger R, et al. Value of tomosynthesis for lesion evaluation of small joints in osteoarthritic hands using the OARSI score. Osteoarthritis Cartilage, 2016, 24(7): 1167-1171.
17. Canella C, Philippe P, Pansini V, et al. Use of tomosynthesis for erosion evaluation in rheumatoid arthritic hands and wrists. Radiology, 2011, 258(1): 199-205.
18. Mathiessen A, Hammer HB, Terslev L, et al. Ultrasonography of inflammatory and structural lesions in hand osteoarthritis: An outcome measures in rheumatology agreement and reliability study. Arthritis Care Res (Hoboken), 2021. doi: 10.1002/acr.24734.
19. Cobb T, Sterbank P, Lemke J. Arthroscopic resection arthroplasty for treatment of combined carpometacarpal and scaphotrapeziotrapezoid (pantrapezial) arthritis. J Hand Surg (Am), 2011, 36(3): 413-419.
20. Weiss S, LaStayo P, Mills A, et al. Prospective analysis of splinting the first carpometacarpal joint: an objective, subjective, and radiographic assessment. J Hand Ther, 2000, 13(3): 218-226.
21. Day CS, Gelberman R, Patel AA, et al. Basal joint osteoarthritis of the thumb: a prospective trial of steroid injection and splinting. J Hand Surg (Am), 2004, 29(2): 247-251.
22. Catalano LW, Ryan DJ, Barron OA, et al. Surgical management of scaphotrapeziotrapezoid arthritis. J Am Acad Orthop Surg, 2020, 28(6): 221-228.
23. 夏雷, 许玉本, 杨瑞泽, 等. 关节融合术治疗拇指腕掌关节炎18例长期随访观察. 中华手外科杂志, 2021, 37(1): 68-70.
24. Cholley-Roulleau M, Dap F, Dautel G, et al. Scaphotrapeziotrapezoid arthrodesis for isolated osteoarthritis: results at a mean 8 years’ follow-up. Hand Surg Rehabil, 2021, 40(5): 602-608.
25. 徐永清. 镍钛记忆合金舟大小融合器治疗月骨无菌性坏死的临床应用研究//第九届西部骨科论坛论文集. 银川: 宁夏医学会, 2013.
26. Meier R, Prommersberger KJ, Krimmer H. Scapho-trapezio-trapezoid arthrodesis (triscaphe arthrodesis). Handchir Mikrochir Plast Chir, 2003, 35(5): 323-327.
27. Watson HK, Wollstein R, Joseph E, et al. Scaphotrapeziotrapezoid arthrodesis: a follow-up study. J Hand Surg (Am), 2003, 28(3): 397-404.
28. Goubier JN, Bauer B, Alnot JY, et al. Scapho-trapezio-trapezoidal arthrodesis for scapho-trapezio-trapezoidal osteoarthritis. Chir Main, 2006, 25(5): 179-184.
29. Rogers MJ, Lu CC, Stephens AR, et al. Scaphotrapeziotrapezoid arthrodesis: A 10-year follow-up study of complications in 58 wrists. Hand (N Y), 2022, 17(5): 919-925.
30. Deren ME, Mitchell CH, Weiss AC. Flexor tendon ruptures after distal scaphoid excision for scaphotrapeziotrapezoid osteoarthritis. Hand (N Y), 2017, 12(5): NP152-NP156.
31. Berkhout MJ, Bachour Y, Wessing D, et al. Distal pole resection of the scaphoid for the treatment of scaphotrapeziotrapezoid osteoarthritis. Hand (N Y), 2019, 14(2): 230-235.
32. Iida A, Omokawa S, Kawamura K, et al. Arthroscopic distal scaphoid resection for isolated scaphotrapeziotrapezoid osteoarthritis. J Hand Surg (Am), 2019, 44(4): 337.e1-337.e5.
33. Normand J, Desmoineaux P, Boisrenoult P, et al. The arthroscopic distal pole resection of the scaphoid: clinical results in STT osteoarthritis. Chir Main, 2012, 31(1): 13-17.
34. Ashwood N, Bain GI, Fogg Q. Results of arthroscopic debridement for isolated scaphotrapeziotrapezoid arthritis. J Hand Surg (Am), 2003, 28(5): 729-732.
35. Andrachuk J, Yang SS. Modified total trapezial and partial trapezoidal excision and ligament reconstruction tendon interposition reduces symptoms in isolated scaphotrapezial-trapezoid arthritis of the wrist. J Hand Surg (Eur Vol), 2012, 37(7): 637-641.
36. Langenhan R, Hohendorff B, Probst A. Trapeziectomy and ligament reconstruction tendon interposition for isolated scaphotrapeziotrapezoid osteoarthritis of the wrist. J Hand Surg (Eur Vol), 2014, 39(8): 833-837.
37. Moreno R, Bhandari L. FCR interposition arthroplasty for concomitant STT and CMC arthritis. Tech Hand Up Extrem Surg, 2019, 23(1): 10-13.
38. Raptis K, Koutserimpas C, Bavelou A, et al. Excisional arthroplasty for isolated scaphotrapeziotrapezoidal arthritis with the use of palmaris longus tendon. Maedica (Bucur), 2021, 16(3): 415-419.
39. Smith RJ, Atkinson RE, Jupiter JB. Silicone synovitis of the wrist. J Hand Surg (Am), 1985, 10(1): 47-60.
40. Low AK, Edmunds IA. Isolated scaphotrapeziotrapezoid osteoarthritis: preliminary results of treatment using a pyrocarbon implant. Hand Surg, 2007, 12(2): 73-77.
41. Gauthier E, Truffandier MV, Gaisne E, et al. Treatment of scaphotrapeziotrapezoid osteoarthritis with the Pyrocardan^® implant: Results with a minimum follow-up of 2 years. Hand Surg Rehabil, 2017, 36(2): 113-121.
42. Humada Álvarez G, Simón Pérez C, García Medrano B, et al. Isolated scaphotrapeziotrapezoid osteoarthritis treatment using resurfacing arthroplasty with scaphoid anchorage. Rev Esp Cir Ortop Traumatol, 2017, 61(6): 412-418.
43. Jehan S, Javaid IH, Javaid MM, et al. The surgical management for isolated scaphotrapeziotrapezoid (STT) osteoarthritis: a systematic review of the literature. Acta Orthop Belg, 2020, 86(1): 137-145.
44. Pequignot JP, D’asnieres de Veigy L, Allieu Y. Arthroplasty for scaphotrapeziotrapezoidal arthrosis using a pyrolytic carbon implant. Preliminary results. Chir Main, 2005, 24(3-4): 148-152.
45. Chaves C, Bellemère P. Double trapeziometacarpal and scaphotrapeziotrapezoidal pyrocarbon interposition implants for pantrapezial arthritis: Midterm results and surgical technique. Orthop Traumatol Surg Res, 2021, 107(5): 102979. doi: 10.1016/j.otsr.2021.102979.

Chinese Journal of Reparative and Reconstructive Surgery

Research progress in etiology and clinical diagnosis and treatment of scaphotrapeziotrapezoid osteoarthritis

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