Review Article|Articles in Press

Carpometacarpal Joint Pathology in the Thumb and Hand

Evaluation and Management of Difficult Conditions
Published:March 15, 2023DOI:


      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessPDF Download and 24 Hours Online Access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribers receive full online access to your subscription and archive of back issues up to and including 2002.

      Content published before 2002 is available via pay-per-view purchase only.


      Subscribe to Hand Clinics
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Wilder F.V.
        • Barrett J.P.
        • Farina E.J.
        Joint-specific prevalence of osteoarthritis of the hand.
        Osteoarthr Cartil. 2006; 14: 953-957
        • Becker S.J.E.
        • Briet J.P.
        • Hageman Michiel G.J. S.
        • et al.
        Death, taxes, and trapeziometacarpal arthrosis.
        Clin Orthop Relat Res. 2013; 471: 3738-3744
        • Weiss A.C.
        • Goodman A.D.
        Thumb basal joint arthritis.
        J Am Acad Orthop Surg. 2018; 26: 562-571
        • Murray P.
        Treatment of the osteoarthritis hand and Thumb.
        in: Wolfe S. Pederson W. Kozin S. Green's operative hand surgery. Vol 1. 8th ed. 2022: 409-437
        • Fontana L.
        • Neel S.
        • Claise J.
        • et al.
        Osteoarthritis of the thumb carpometacarpal joint in women and occupational risk factors: A Case–Control study.
        J Hand Surg Am. 2007; 32: 459-465
        • Wolf J.M.
        • Delaronde S.
        Current trends in nonoperative and operative treatment of trapeziometacarpal osteoarthritis: A survey of US hand surgeons.
        J Hand Surg Am. 2012; 37: 77-82
        • Vermeulen G.M.
        • Slijper H.
        • Feitz R.
        • et al.
        Surgical management of primary thumb carpometacarpal osteoarthritis: A systematic review.
        J Hand Surg Am. 2011; 36: 157-169
        • Wajon A.
        • Vinycomb T.
        • Carr E.
        • et al.
        Surgery for thumb (trapeziometacarpal joint) osteoarthritis.
        Cochrane Database Sys Rev. 2017; 2017
        • Piacenza A.
        • Vittonetto D.
        • Rossello M.I.
        • et al.
        Arthrodesis versus arthroplasty in thumb carpometacarpal osteoarthritis: Impact on maximal voluntary force, endurance, and accuracy of pinch.
        J Hand Surg Am. 2022; 47: 90.e1-90.e7
        • Lansinger Y.C.
        • Lehman T.P.
        Nonunion following trapeziometacarpal arthrodesis with plate and screw fixation.
        J Hand Surg Am. 2015; 40: 2310-2314
        • Elfar J.C.
        • Burton R.I.
        Ligament reconstruction and tendon interposition for thumb basal arthritis.
        Hand Clin. 2013; 29: 15-25
        • Huang K.
        • Hollevoet N.
        • Giddins G.
        Thumb carpometacarpal joint total arthroplasty: A systematic review.
        J Hand Surg Eur. 2015; 40: 338-350
        • Cooney W.P.
        • Leddy T.P.
        • Larson D.R.
        Revision of thumb trapeziometacarpal arthroplasty.
        J Hand Surg Am. 2006; 31: 219.e1-219.e9
        • Hess D.E.
        • Drace P.
        • Franco M.J.
        • et al.
        Failed thumb carpometacarpal arthroplasty: Common etiologies and surgical options for revision.
        J Hand Surg Am. 2018; 43: 844-852
        • Renfree K.J.
        • Roarke M.C.
        Thumb metacarpal-trapezoid impingement as an etiology of pain after trapeziectomy and basal joint soft tissue arthroplasty: A case series.
        J Hand Surg Am. 2021; 46: 931.e1-931.e6
        • Armbruster E.J.
        • Tan V.
        Carpometacarpal joint disease: Addressing the metacarpophalangeal joint deformity.
        Hand Clin. 2008; 24: 295-299
        • Low T.H.
        • Hales P.F.
        High incidence and treatment of flexor carpi radialis tendinitis after trapeziectomy and abductor pollicis longus suspensionplasty for basal joint arthritis.
        J Hand Surg Eur. 2014; 39: 838-844
        • Munns J.J.
        • Matthias R.C.
        • Zarezadeh A.
        • et al.
        Outcomes of revisions for failed trapeziometacarpal joint arthritis surgery.
        J Hand Surg Am. 2019; 44: 798.e1-798.e9
        • Burton R.
        Complications following surgery of the basal joint of the thumb.
        Hand Clin. 1986; 2: 265-269
        • Ganhewa A.D.
        • Wu R.
        • Chae M.P.
        • et al.
        Failure rates of base of thumb arthritis surgery: A systematic review.
        J Hand Surg Am. 2019; 44: 728-741.e10
        • Kaszap B.
        • Daecke W.
        • Jung M.
        Outcome comparison of primary trapeziectomy versus secondary trapeziectomy following failed total trapeziometacarpal joint replacement.
        J Hand Surg Am. 2013; 38: 863-871.e3
        • Conolly W.B.
        • Rath S.
        Revision procedures for complications of surgery for osteoarthritis of the carpometacarpal joint of the thumb.
        J Hand Surg Eur. 1993; 18: 533-539
        • Papatheodorou L.K.
        • Winston J.D.
        • Bielicka D.L.
        • et al.
        Revision of the failed thumb carpometacarpal arthroplasty.
        J Hand Surg Am. 2017; 42: 1032.e1-1032.e7
        • Sadhu A.
        • Calfee R.P.
        • Guthrie A.
        • et al.
        Revision ligament reconstruction tendon interposition for trapeziometacarpal arthritis: A case-control investigation.
        J Hand Surg Am. 2016; 41: 1114-1121