ReviewDeutsches Arzteblatt international2018
The Treatment of Primary Arthritis of the Finger and Thumb Joint.
Review in Deutsches Arzteblatt international, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 47 citations in OpenAlex.
- Conservative and surgical treatment of wrist osteoarthritis: a systematic review.Archives of orthopaedic and trauma surgery · 2026Pooled it
- Surgical therapy of conservatively exhausted rhizarthrosis - total joint replacement or resection arthroplasty? A systematic review.Archives of orthopaedic and trauma surgery · 2026Pooled it
- [Pain around the first ray of the hand: differential diagnoses and treatment].Orthopadie (Heidelberg, Germany) · 2025Review
- Intraoperative cartilage analysis of the first carpometacarpal joint - comparison with conventional staging according to Eaton and Littler.Archives of orthopaedic and trauma surgery · 2024Article
- [Arthroplasty of the hand and wrist].Zeitschrift fur Rheumatologie · 2023Review
- [Resection arthroplasty for thumb basal joint arthritis].Der Orthopade · 2022Article
- Prospective Evaluation of Low-Dose External Beam Radiotherapy (LD-EBRT) for Painful Trapeziometacarpal Osteoarthritis (Rhizarthrosis) on Pain, Function, and Quality of Life to Calculate the Required Number of Patients for a Prospective Randomized Study.Medical sciences (Basel, Switzerland) · 2021Observational
- [Resection arthoplasty of the trapezium with ligament reconstruction and tendon interposition and variations].Operative Orthopadie und Traumatologie · 2021Review
- The influence of K-wire transfixation on proximalization of the first metacarpal after resection suspension interposition arthroplasty.Archives of orthopaedic and trauma surgery · 2021Article
- Complications after surface replacing and silicone PIP arthroplasty: an analysis of 703 implants.Archives of orthopaedic and trauma surgery · 2021Article
- Innovations in Psoriasis Management: Based on Selected Presentations from the Symposium for Cosmetic Advances & Laser Education (SCALE) Virtual Congress-July 24 to 26, 2020.The Journal of clinical and aesthetic dermatology · 2020Article
- [Histological diagnostics in joint pathology due to increasing regenerative therapeutic strategies - special consideration for cartilage damage].Der Pathologe · 2020Article
- Re-irradiation for humeral epicondylitis : Retrospective analysis of 99 elbows.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2020Article
- [Dorsal plate arthrodesis of the thumb metacarpophalangeal joint].Operative Orthopadie und Traumatologie · 2020Review
- Thumb Interphalangeal Joint Replacement as an Alternative to Joint Fusion.Advances in orthopedics · 2020Article
- [Percutaneous treatment of unstable fractures of the base of the middle phalanx : Technique according to Hintringer and Ender].Operative Orthopadie und Traumatologie · 2019Review
- [Open reduction and screw/plate osteosynthesis of metacarpal fractures].Operative Orthopadie und Traumatologie · 2019Review
- [Open reduction and plate/screw osteosynthesis of proximal phalanx fractures].Operative Orthopadie und Traumatologie · 2019Review
- [Arthroplasty of the TMT1 joint-a critical view].Der Orthopade · 2019Review
- [Anatomy of the trapeziometacarpal joint in the context of arthroplasty].Der Orthopade · 2019Review
Corrections and comments
- Commented on byRadiotherapy.2018
- Commented on by
Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPrimary finger and thumb joint arthritis is common, with a markedly rising prevalence from age 50 onward. As the population as a whole ages, the need for effective, stage-appropriate treatment of this condition is increasing.
methodsThis review is based on pertinent publications retrieved by a selective search in the PubMed and Cochrane Library databases.
resultsPain on movement and morning stiffness are commonly reported symptoms. Thorough physical examination and plain x-rays are mandatory. In the early stages of primary finger and thumb joint arthritis, a conservative, multimodal treatment approach involving the use of splints, physiotherapy, and non-steroidal anti-inflammatory drugs can be helpful. The intraarticular injection of hyaluronic acid or cortisone seems to relieve pain in the short term, but its long-term efficacy in primary finger and thumb joint arthritis is questionable. Arthrodesis (joint fusion) is a reliable surgical treatment option for arthritis of the metacarpophalangeal and interphalangeal joints of the thumb. For mobility-preserving surgery of the metacarpophalangeal joints of the second through fifth fingers, silicone implant arthroplasty remains the gold standard. Symptomatic, advanced arthritis of the distal interphalangeal joint is most effectively treated with arthrodesis.
conclusionThe efficacy of conservative treatment has been documented in high-quality clinical trials, while that of surgical treatment has not. The various surgical methods have yielded benefits in routine clinical use, but these remain to be assessed in randomized and controlled trials.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.