Eaton and Littler described outcomes following surgical reconstruction of the thumb carpometacarpal joint. The authors are from Roosevelt Hospital in New York City.
Patient selection: painful, unstable thumb metacarpal (CMC) joints
Parameters:
(1) pain
(2) grip strength as percent of normal (often that shown in the opposite hand, if normal)
(3) further deterioration in the articular surfaces
(4) symptoms compared to preoperative
Pain
Grip Strength
Further Deterioration
Compared to Before Surgery
Outcome
none
>= 90%
none
NA
excellent
occasional, with exceptional stress
good but < 90%
minimum
NA
good
frequent, with average use
fair
some crepitus, same or slightly worse than before surgery
better
fair
constant or at rest
poor
definitely worse
same or worse
poor
where:
• The paper makes no mention of a poor outcome. The data in the table is based on the other outcomes.
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