Evaluation and Management of Scaphoid-Trapezium-Trapezoid Joint Arthritis

Orthop Clin North Am. 2019 Oct;50(4):497-508. doi: 10.1016/j.ocl.2019.05.005. Epub 2019 Aug 5.

Abstract

Degenerative arthritis at the articulation of the scaphoid, trapezium, and trapezoid (STT or triscaphe joint) is a common degenerative disease of the wrist. Pain and weakness with grip strength reduction and functional limitations when performing routine daily tasks are common complaints of patients with STT arthritis. Initial conservative treatments for STT arthritis include splinting, bracing, activity modification, anti-inflammatory medication, and steroid injections for pain relief. Failure of conservative treatment is the main indication for surgery, which may include distal scaphoid excision, with or without filling of the void after excision, trapeziectomy, STT arthrodesis, or STT implant arthroplasty.

Keywords: Arthritis; Cause; Complications; Outcomes; Scaphoid-trapezium-trapezoid (STT) joint; Treatment.

Publication types

  • Review

MeSH terms

  • Aged, 80 and over
  • Carpal Joints / diagnostic imaging*
  • Carpal Joints / pathology
  • Carpal Joints / surgery*
  • Disease Management
  • Humans
  • Incidental Findings
  • Orthopedic Procedures
  • Osteoarthritis / diagnostic imaging*
  • Osteoarthritis / epidemiology
  • Osteoarthritis / surgery*
  • Scaphoid Bone / diagnostic imaging
  • Scaphoid Bone / pathology
  • Trapezium Bone / diagnostic imaging
  • Trapezoid Bone / diagnostic imaging
  • Trapezoid Bone / pathology
  • Treatment Outcome