Arthroscopic Partial Trapezictomy With Hematoma Distraction in Basal Thumb Arthritis

Orthopedic Disorder Clinical Trial

Official title:

Arthroscopic Partial Trapeziectomy With Hematoma Distraction in Basal Thumb Arthritis

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05746091
• Other study ID #: APTBA
• Status: Recruiting
• Phase: N/A
• Start date: December 30, 2023
• Est. completion date: December 5, 2024

Study information

• Verified date: January 2024
• Source: Al-Azhar University
• Contact: Maysara Mohammed, MD
• Phone: 0201063119673
• Email: maysarabayoumy.216[@]Azhar.edu.eg
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The basal joint, also referred to as the carpometacarpal (CMC) joint, of the thumb is one of the joints most commonly affected by arthritis. CMC joint arthritis can lead to decreased grip and pinch strength and impairment of activities of daily living

Description:

The thumb CMC joint has been reported as the most painful joint when compared to other hand joints affected by OA. It is therefore no surprise that this is a common chief complaint of patients and has a significant effect on work and life satisfaction Patients often present with complaints of pain localized to the base of the thumb that is exacerbated when performing tasks such as opening a jar, turning a car key, and turning door Knob, this pain may be reproduced by resisted pinch and grip .

On physical examination, patients will have point tenderness at the thumb basal joint with swelling and crepitus when the basal joint is compressed - a positive grind test and a positive "hump" sign from dorsal CMC dislocation subluxation .

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 24
• Est. completion date: December 5, 2024
• Est. primary completion date: October 1, 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: 20 Years and older

Eligibility

Inclusion Criteria:

• Age: adult patient > 20years.

• Gender: Males & Females.

• Symptomtic patient.

• Failed conservative treatment of 6 months duration

• Eaton stage II, III and IV of base thumb arthritis

Exclusion Criteria:

• Patient presenting with flexor carpi radialis rupture

• Previous Zancolli arthroplasty

• Associated comorbidity as: RA,DM with joint destruction

• Infection

• Poor Skin Condition

• Active Pateint With High Joint Demand

Related Conditions & MeSH terms

• Hematoma
• Musculoskeletal Diseases
• Orthopedic Disorder

Intervention

Procedure:
• wrist arthroscopy
Arthroscopic Partial Trapeziectomy with Hematoma Distraction in Basal Thumb Arthritis

Locations

Country	Name	City	State
Egypt	Alazhar	Assiut

Sponsors (1)

Lead Sponsor	Collaborator
Al-Azhar University

Country where clinical trial is conducted

Egypt, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	DASH score	score for pinch grip	1 year