ReviewJPRAS open2026
A scoping review of the impact of transverse carpal ligament sectioning on the thumb carpometacarpal joint: Does it increase the risk of ostearthritis?
Review in JPRAS open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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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
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Purpose: We aimed to review the effects of carpal tunnel ligament sectioning on the thumb carpometacarpal (CMC) joint with the hypothesis that carpal tunnel release (CTR) may result in biomechanical changes at the thumb CMC joint predisposing an individual to pain and or accelerated articular wear. Methods: This review was performed using the Pubmed and Medline databases from January 1, 1970 to January 7, 2023. Articles that examine the thumb CMC joint after CTR were categorized as cadaveric, clinical, or computational studies. The anatomy, pathophysiology, and treatment of both CMC arthritis and carpal tunnel syndrome (CTS) were included to provide context for our results. These studies were synthesized to describe the effects of CTR on the thumb CMC joint. Results: The search resulted in 1093 articles for possible inclusion. After screening abstracts and removing duplicates, 48 articles were included in this review. Common themes from this review include: widening and differences in configuration of the carpal arch following CTR, and changes in the positioning and movement of the carpal bones-leading to differences in the forces and contact stressors across articulations. We also review how these changes may lead to thumb CMC pain and could contribute to articular wear. Conclusion: There are morphologic and biomechanical changes that occur across the carpal arch after CTR. These changes may be associated with differences in intrinsic hand muscle function, increased ligamentous stress, and accelerated ligamentous laxity - leading to alterations in the distribution of force around the trapezium and to its articular cartilage.
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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.