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© 1994 British Society for Rheumatology

research-article

OSTEOARTHRITIS OF THE SCAPHO-TRAPEZIAL JOINT

K. LIM and P. DIEPPE

Rheumatology Unit, University of Bristol, Bristol Royal Infirmary Upper Maudlin Road, Bristol BS2 8HW

In a cohort of 199 patients with OA we studied the prevalence of radiographic scapho-trapezial joint osteoarthritis (STJOA) and its clinical features. The prevalence of STJ OA was 38%. Lone STJ OA occurs but is uncommon (11%). In contrast, STJ OA in combination with first carpo-metacarpal joint OA was found in 27%. There appears to be an agerelated progression from those without disease to lone disease to combined disease. The most frequent radiological features seen were joint space narrowing, subchondral sclerosis and osteophytes. There was a weak correlation between STJ OA and palpable swelling at the thumb base ({Phi} = 0.231, P = 0.01) but no association was found between STJ OA and tenderness at the thumb base.

KEY WORDS: Scapho-trapezial joint, Osteoarthritis, Thumb base, Carpo-metacarpal joint, Radiological features, Progression, Tenderness, Swelling, Osteophytes


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