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An official publication of the ACR and the ARP serving rheumatologists and rheumatology professionals

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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