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Nonsurgical Treatments Can Relieve Pain, Improve Hand Function in Thumb Carpometacarpal Joint Osteoarthritis

Norman P. Gustafson, MS, OTR/L, CHT, Bruce M. Jacobs, BS, OTR/L, and Nancy A. Baker, ScD, MPH, OTR/L  |  Issue: March 2014  |  

Dr. Gustafson is an occupational therapist and Dr. Baker is an associate professor, both at the University of Pittsburgh in Pennsylvania. Dr. Jacobs is a senior occupational therapist at the University of Pittsburgh Medical Center’s Centers for Rehab Services.

References

  1. Wilder F, Barrett J, Farina E. Joint-specific prevalence of osteoarthritis of the hand. Osteoarthritis Cartilage. 2006;14:953-957.
  2. Haugen I, Englund M, Aliabadi P, et al. Prevalence, incidence and progression of hand osteoarthritis in the general population: The Framingham Osteoarthritis Study. Ann Rheum Dis. 2011;70:1581-1586.
  3. Marshall M, van der Windt D, Nicholls E, Myers H, Hay E, Dziedzic K. Radiographic hand osteoarthritis: Patterns and associations with hand pain and function in a community-dwelling sample. Osteoarthritis Cartilage. 2009;17:1440-1447.
  4. Neumann D, Bielefeld T. The carpometacarpal joint of the thumb: Stability, deformity, and therapeutic intervention. J Orthop Sports Phys Ther. 2003;33:386-399.
  5. Pellegrini VD. Pathomechanics of the thumb trapezioetacarpal joint. Hand Clin. 2001;17:175-184.
  6. Momose T, Nakatsuchi Y, Saitoh S. Contact area of the trapeziometacarpal joint. J Hand Surg Am. 1999;24:491-495.
  7. Kovler M, Lundon K, McKee N, Agur A. The human first carpometacarpal joint: Osteoarthritic degeneration and 3-dimensional modeling. J Hand Ther. 2004;17:393-400.
  8. Cooney W, Chao E. Biomechanical analysis of static forces in the thumb during hand function. J Bone Joint Surg Am. 1977;59:27-36.
  9. Beaseley J. Osteoarthritis and rheumatiod arthritis: Conservative therapeutic management. J Hand Ther. 2012;25:163-172.
  10. Egan M, Brousseau L. Splinting for osteoarthritis of the carpometacarpal joint: A review of the evidence. Am J Occup Ther. 2007;61:70-78.
  11. Stamm TA, Machold KP, Smolen JS, et al. Joint protection and home hand exercises improve hand function in patients with hand osteoarthritis: A randomized controlled trial. Arthritis Rheum. 2002;47:44-49.
  12. Boustetd C, Nordenskiöld U, Lundgren Nilsson AL. Effects of a hand-joint protection programme with an addition of splinting and exercise: One year follow-up. Clin Rheumatol. 2009;28:793-799.
  13. Valdes K, Marik T. A systematic review of conservative interventions for osteoarthritis of the hand. J Hand Ther. 2010;23:334-351.
  14. Berggren M, Joost-Davidsson A, Lindstrand J, Nylander G, Povlsen B. Reduction in the need for operation after conservative treatment of osteoarthritis of the first carpometacarpal joint: A seven year prospective study. Scand J Plast Reconstr Surg Hand Surg. 2001;35:415-417.

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