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OrthoVellum

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Hand & Upper Limb
intermediate
X-Type

Triscaphe Arthritis - STT Arthritis and Treatment Options

Wrist Arthritis

A 62-year-old right-hand-dominant woman presents with radial wrist pain that has progressively worsened over 2 years. She has difficulty opening jars and experiences pain with gripping. Examination reveals tenderness at the radial aspect of the wrist, distal to the scaphoid tubercle. There is no thumb CMC grind test tenderness. Radiographs show joint space narrowing and osteophytes at the scaphotrapeziotrapezoid (STT) joint with no other arthritic changes. Regarding STT (triscaphe) arthritis:

Mark each as TRUE or FALSE

A

STT (scaphotrapeziotrapezoid or triscaphe) arthritis involves the articulations between the scaphoid...

B

Clinical presentation includes radial wrist pain exacerbated by gripping and pinching, tenderness di...

C

STT arthritis only occurs as an isolated primary condition and is never associated with other pathol...

D

STT arthritis may be primary (isolated osteoarthritis) or secondary; secondary causes include SLAC w...

E

Conservative management includes activity modification, splinting (thumb spica or wrist splint), NSA...

Answer the questions to see explanations

Click T (True) or F (False) for each option