This study aimed to identify the effects of basal thumb surgery on the range of dart thrower’s motion. Thirteen fresh-frozen cadaveric specimens were placed in a customized jig. Simulated scaphotrapeziotrapezoid joint fusion was carried out on all specimens. Half the specimens then underwent trapeziectomy and the rest had excision of the distal pole of the scaphoid. Simulated scaphotrapeziotrapezoid fusion reduced the range of dart thrower’s motion to 89% of the range in the intact wrists, from a mean of 117° to 104°. Although this reduction is not large, it was statistically significant. Simulated trapeziectomy caused a very small increase in dart thrower’s motion range compared with the range in the intact wrists. Simulated distal pole of scaphoid excision did not change the range of dart thrower’s motion. These results may inform preoperative decisions for surgical management of basal osteoarthritis of the thumb.
AnnebergMPackerGCriscoJJWolfeS. Four-year outcomes of midcarpal hemiarthroplasty for wrist arthritis. J Hand Surg Am. 2017, 42: 894–903.
2.
BerkhoutMJBachourYWessingDRittMJPF. Distal pole resection of the scaphoid for the treatment of scaphotrapeziotrapezoid osteoarthritis. Hand (NY). 2019, 14: 230–5.
3.
BrigstockeGHOHearndenAHoltCWhatlingG. In-vivo confirmation of the use of the dart thrower’s motion during activities of daily living. J Hand Surg Eur. 2014, 39: 373–8.
4.
BugdenB. A proposed method of goniometric measurement of the dart-throwers motion. J Hand Ther. 2013, 26: 77–80.
5.
CliffNJRustPA. A study to investigate the intra-rater and inter-rater reliability of goniometric measurements of dart throwers motion of asymptomatic wrists. Hand Ther. 2016, 21: 58–64.
6.
CriscoJJCoburnJCMooreDCAkelmanEWeissA-PCWolfeSW. In vivo radiocarpal kinematics and the dart thrower's motion. J Bone Joint Surg Am. 2005, 87: 2729–40.
7.
DavisTRCBradyODiasJJ. Excision of the trapezium for osteoarthritis of the trapeziometacarpal joint: a study of the benefit of ligament reconstruction or tendon interposition. J Hand Surg Br. 2004, 29: 1069–77.
8.
DeBottisDPWernerFWSuttonLGHarleyBJ. 4-corner arthrodesis and proximal row carpectomy: a biomechanical comparison of wrist motion and tendon forces. J Hand Surg Am. 2013, 38: 893–8.
9.
FieldJBuchananD. To suspend or not to suspend: a randomised single blind trial of simple trapeziectomy versus trapeziectomy and flexor carpi radialis suspension. J Hand Surg Eur. 2007, 32: 462–6.
10.
Garcia-EliasMLluchAFerreresAPapini-ZorliIRahimtoolaZO. Treatment of radiocarpal degenerative osteoarthritis by radioscapholunate arthrodesis and distal scaphoidectomy. J Hand Surg Am. 2005, 30: 8–15.
11.
Garcia-EliasMLluchALFarreresACastilloFSaffarP. Resection of the distal scaphoid for scaphotrapeziotrapezoid osteoarthritis. J Hand Surg Br. 1999, 24: 448–52.
12.
IidaAOmokawaSKawamuraKShimizuTOnishiTTanakaY. Arthroscopic distal scaphoid resection for isolated scaphotrapeziotrapezoid osteoarthritis. J Hand Surg Am. 2019, 44: 337.
13.
LeventhalELMooreDCAkelmanEWolfeSWCriscoJJ. Carpal and forearm kinematics during a simulated hammering task. J Hand Surg Am. 2010, 35: 1097–104.
14.
McCombeDIrelandDCRMcNabI. Distal scaphoid excision after radioscaphoid arthrodesis. J Hand Surg Am. 2001, 26: 877–82.
15.
MeierRvan GriensvenMKrimmerH. Scaphotrapeziotrapezoid (STT)-arthrodesis in Kienböck's disease. J Hand Surg Br. 2004, 29: 580–4.
MoritomoHApergisEPHerzbergGWernerFWWolfeSWGarcia-EliasM. 2007 IFSSH committee report of wrist biomechanics committee: biomechanics of the so-called dart-throwing motion of the wrist. J Hand Surg Am. 2007, 32: 1447–53.
20.
MoritomoHMuraseTGotoAOkaKSugamotoKYoshikawaH. In vivo three-dimensional kinematics of the midcarpal joint of the wrist. J Bone Joint Surg Am. 2006, 88: 611.
21.
MoritomoHViegasSFNakamuraKDaSilvaMFPattersonRM. The scaphotrapezio-trapezoidal joint. Part 1: an anatomic and radiographic study. J Hand Surg Am. 2000, 25: 899–910.
22.
PalmerAKWernerFWMurphyDGlissonR. Functional wrist motion: a biomechanical study. J Hand Surg Am. 1985, 10: 39–46.
23.
RitchieJFSBelcherHJCR. A comparison of trapeziectomy via anterior and posterior approaches. J Hand Surg Eur. 2008, 33: 137–43.
24.
RustPAManojlovichLMWallaceR. A comparison of dart thrower’s range of motion following radioscapholunate fusion, four-corner fusion and proximal row carpectomy. J Hand Surg Eur. 2018, 43: 718–22.
25.
SandowMJFisherTJHowardCQPapasS. Unifying model of carpal mechanics based on computationally derived isometric constraints and rules-based motion – the stable central column theory. J Hand Surg Eur. 2014, 39: 353–63.
26.
SlutskyDJPrinciples and practice of wrist surgery. 2010, Philadelphia, PA: Saunders Elsevier, pp. 27–40.
27.
StandringSGray's anatomy: the anatomical basis of clinical practice. 2016, 41st Edn. Elsevier Limited: New York, pp. 862–94.
28.
TrailIAFlemingANMDisorders of the hand. 2015, Springer London: London, pp. 41–91.
29.
WajonACarrEEdmundsIAdaLSurgery for thumb (trapeziometacarpal joint) osteoarthritis. In: CollaborationTC (eds) Cochrane database of systematic reviews. 2009, Chichester, UK: John Wiley & Sons, Ltd, pp. CD004631.pub3.
30.
WatsonHKWollsteinRJosephEManzoRWeinzweigJAshmeadD. Scaphotrapeziotrapezoid arthrodesis: a follow-up study. J Hand Surg Am. 2003, 28: 397–404.
31.
WernerFWGreenJKShortWHMasaokaS. Scaphoid and lunate motion during a wrist dart throw motion. J Hand Surg Am. 2004, 29: 418–22.
32.
WollsteinRWatsonHK. Scaphotrapeziotrapezoid arthrodesis for arthritis. Hand Clin. 2005, 21: 539–43.
33.
YeomanTFMStoneOJenkinsPJMcEachanJE. The long-term outcome of simple trapeziectomy. J Hand Surg Eur. 2019, 44: 146–50.
34.
ZhangYNiuJKelly-HayesMChaissonCEAliabadiPFelsonDT. Prevalence of symptomatic hand osteoarthritis and its impact on functional status among the elderly: The Framingham study. Am J Epidemiol. 2002, 156: 1021–7.
