CORR Insights®: Patients With Thumb-base Osteoarthritis Scheduled for Surgery Have More Symptoms Worse Psychological Profile and Higher Expectations Than Nonsurgical Counterparts: A Large Cohort Analysis

摘要

Thumb carpometacarpal osteoarthritis (OA) generally occurs in patients older than 50 years of age, and it can cause pain and functional limitations, which impair the ability of patients to participate in daily activities [4]. Initial management of trapeziometacarpal OA generally is nonsurgical, and includes manual therapy and exercise. Many studies have demonstrated the efficacy of these non-surgical interventions in improving hand function and decreasing pain [2]. In some cases, however, these non-surgical options do not produce satisfactory results. One study [13] estimated that 15% of patients have surgery after an average of 2.2 years of non-operative treatment. Unsurprisingly, it appears that decreased pain over the course of non-surgical treatment lowers the likelihood that a patient will choose surgery for this condition [11].