Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
A project aiming to promote evidence based practice when treating thumb basal joint (CMC I) arthritis. We will aim to: 1) provide the minimal clinical difference of two general outcome instruments, 2) evaluate the association between pre-operative anxiety and/or depression and outcomes following trapeziectomy, 3) evaluate the effect of trapziectomy on carpal cinematics, 4) determine the cost-utility-ratio of trapeziectomy
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Trapeziectomy | Other | Simple trapeziectomy for treating CMC I arthritis |
|
| Conservative | No Intervention | Conservative measures (e.g. splint, NSAID, activation modification) for treating CMC I arthritis |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Trapeziectomy | Procedure | Simple trapeziectomy (without LRTI) |
|
| Measure | Description | Time Frame |
|---|---|---|
| Patient-Rated Wrist Evaluation | The PRWE comprises 15 questions to measure wrist pain and disability in daily activities. In PRWE patients rate wrist pain and disability from 0 to 10 and it consists two subscales: Pain and Function (0=best possible outcome, 10=worst possible outcome) | 12 months |
| Michigan Hand Outcome Questionnaire | A hand-specific outcomes instrument that contains six distinct scales: (1) overall hand function, (2) activities of daily living, (3) pain, (4) work performance, (5) aesthetics, and (6) patient satisfaction with hand function. | 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Pain Catastrophizing Scale | A pain catastrophizing scale comprising of three subscales: (1) Helplessness, (2) Rumination, and (3) Magnification | 12 months |
| Pain (Visual Analogue Scale) | The VAS is derived by health care professional question of pain in scale 0 to 10 (0=no pain, 10=worst possible pain) |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Samuli Aspinen, M.D., Ph.D. | Contact | +358406360546 | samuli.aspinen@hus.fi |
Not provided
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Töölö Hospital (Helsinki University Hospital) | Recruiting | Helsinki | Finland |
The datasets generated and analyzed during this trial will be available from the PI on reasonable request.
Not provided
Not provided
Not provided
Not provided
Not provided
| ID | Term |
|---|---|
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| ID | Term |
|---|---|
| D009140 | Musculoskeletal Diseases |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| 12 months |
| Global improvemen | Global rating to treatment effect will be evaluated by question: "How would you rate the function of your hand compared to the situation before the treatment?". The options are in 5-step Likert scale from (-2) Much worse to (+2) Much better | 12 months |
| Grip strength | Grip strength is measured with a dynamometer in kg as the mean of three measurements. It will be numbered in kg and percentage of the unaffected side | 12 months |
| Wrist and hand (thumb) range of motion (ROM) | ROM is measured on both hands with a handheld goniometer in degrees. | 12 months |
| Cost-utility | Quality-adjusted life years/months measured as a change in EQ-5D | 12 months |
| Carpal Kinematics | Evaluated from preoperative and compared to 1-year postoperative 4-dimension cone-beam tomography - the wrists are imaged in 7 different postures to reproduce carpal movement, the pre and postoperative scans will be compared to evalueate the effect of trapeziectomy on carpal kinematics (e.g. scapholunate angle, lunotriquetral angle, metacarpal subsidence) | 12 months |
| Beck Depression Inventory | 21-item, self-report rating inventory that measures characteristic attitudes and symptoms of depression | 12 months |