Outcomes of Surgery To Relieve Thumb Pain with a Nerve Procedure

Overview

About this study

The carpometacarpal (CMC) joint of the thumb, which is the joint at the base of the thumb, is one of the most common areas in the hand where arthritis develops.  CMC arthritis of the thumb can lead to pain, limited range of motion, and decreased ability to grip and pinch objects.  Initial treatment of CMC joint arthritis typically consists of nonsurgical measures including splinting, oral anti-inflammatory medications (NSAIDs), topical anti-inflammatory creams, and steroid injections. If the patient's symptoms do not improve with these measures, various surgical operations are commonly used to treat CMC arthritis. Each of these surgical methods requires extensive recovery time following surgery, hand therapy, and significant time away from work.  With the goal of providing patients with a less invasive procedure that reliably improves pain relief and allows patients to return to work and activities more quickly with minimal rehabilitation after surgery, the senior author has begun to perform a relatively new surgical procedure called the thumb partial CMC denervation procedure.  The goal of this research is to determine the outcomes of patients who undergo the thumb partial CMC denervation procedure.  Specifically, we will be examining whether they experience significant pain relief, if they are better able to use their thumb and hand after this operation, and the complications that may occur following this operation.

Participation eligibility

Participant eligibility includes age, gender, type and stage of disease, and previous treatments or health concerns. Guidelines differ from study to study, and identify who can or cannot participate. There is no guarantee that every individual who qualifies and wants to participate in a trial will be enrolled. Contact the study team to discuss study eligibility and potential participation.

Target accrual: 10,000 patients.  We will contact subject included with missing follow-up data and with a minimum follow-up of 3 months .

Subject population (children, adults, groups):  adults 18 years and older operated for thumb carpometacarpal osteoarthritis at Mayo Clinic, Rochester,

Inclusion Criteria: patients who have been treated at Mayo Clinic, Rochester for thumb carpometacarpal joint osteoarthritis

Exclusion Criteria:  patients under 18 year old and patients with any other concomitant thumb injuries.

Participating Mayo Clinic locations

Study statuses change often. Please contact the study team for the most up-to-date information regarding possible participation.

Mayo Clinic Location Status Contact

Rochester, Minn.

Mayo Clinic principal investigator

Sanjeev Kakar, M.D.

Closed-enrolling by invitation

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Not open to everyone who meets the eligibility criteria, but only those invited to participate by the study team.

Contact information:

Sanjeev Kakar M.D.

(507) 284-4828

Kakar.Sanjeev@mayo.edu

More information

Publications

Publications are currently not available
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CLS-20577873

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