Abstract
Degenerative arthritis of trapeziometacarpal joint (TMJ) often necessitates surgical management and trapezium-sparing procedures are associated with satisfactory outcomes. Arthroscopic partial trapeziectomy is performed via specialized TMJ portals; approximately 4–6 mm of distal trapezium is excised and peripheral ligaments and capsular attachments are preserved. This chapter presents the arthroscopic anatomy and technical steps of TMJ arthroscopy and partial trapeziectomy.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
Adams JE. Does arthroscopic débridement with or without interposition material address carpometacarpal arthritis? Clin Orthop Relat Res. 2014;472(4):1166–72.
Edwards SG, Ramsey PN. Prospective outcomes of stage III thumb carpometacarpal arthritis treated with arthroscopic hemi-trapeziectomy and thermal capsular modification without interposition. J Hand Surg Am. 2010;35:566–71.
Zhang AY, Van Nortwick S, Hagert E, Yao J, Ladd AL. Thumb carpometacarpal ligaments inside and out: a comparative study of arthroscopic and gross anatomy from the robert a. Chase hand and upper limb center at Stanford university [published correction appears in J Wrist Surg. 2014;3(4):e1. Yao, Jeffrey [added]]. J Wrist Surg. 2013;2(1):55–62. https://doi.org/10.1055/s-0033-1333683.
Badia A. Trapeziometacarpal arthroscopy: a classification and treatment algorithm. Hand Clin. 2006;22:153–63.
Eaton RG, Glickel SZ. Trapeziometacarpal osteoarthritis. Staging as a rationale for treatment. Hand Clin. 1987;3:455–71.
Walsh EF, Akelman E, Fleming BC, DaSilva MF. Thumb carpometacarpal arthroscopy: a topographic, anatomic study of the thenar portal. J Hand Surg Am. 2005;30(2):373–9.
Slutsky DJ. The use of a dorsal-distal portal in trapeziometacarpal arthroscopy. Arthroscopy. 2007;23:1244.e1–4.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Ethics declarations
The author certifies that he has no commercial associations (e.g., consultancies, stock ownership, equity interest) that might pose a conflict of interest in connection with the submitted article. The author retains the copyright to the images, videos, and content in this chapter.
Rights and permissions
Copyright information
© 2022 ISAKOS
About this chapter
Cite this chapter
Bhatia, D.N. (2022). Arthroscopic Partial Trapeziectomy for Trapeziometacarpal Arthritis. In: Bhatia, D.N., Bain, G.I., Poehling, G.G., Graves, B.R. (eds) Arthroscopy and Endoscopy of the Elbow, Wrist and Hand. Springer, Cham. https://doi.org/10.1007/978-3-030-79423-1_116
Download citation
DOI: https://doi.org/10.1007/978-3-030-79423-1_116
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-79422-4
Online ISBN: 978-3-030-79423-1
eBook Packages: MedicineMedicine (R0)