{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T10:40:02Z","timestamp":1792665602033,"version":"4.5.0"},"reference-count":21,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2023,10,27]],"date-time":"2023-10-27T00:00:00Z","timestamp":1698364800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Hand (New York, N,Y.)"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>To report the clinical outcomes of partial denervation for the treatment of basilar thumb joint arthritis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Patients who underwent partial denervation of the basilar thumb joint for osteoarthritis from a single center between 2019 and 2021 were recruited into the study. This involved a technique that involved cauterization of the joint capsule and its innervation through the branches of the superficial radial, palmar cutaneous branch of the median, lateral antebrachial, and ulnar nerves. Patients were followed up postoperatively to record clinical (grip strength, thumb apposition and opposition pinch grip strength, Kapandji score) and patient-reported outcomes (visual analogue scale [VAS], Quick Disabilities of the Arm, Shoulder and Hand [QuickDASH], Patient-reported Wrist Evaluation [PRWE]).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Twelve patients (15 carpometacarpal joints; 9 female and 3 male patients) underwent a partial denervation of the thumb (Eaton stage 3-4). The mean age at the time of surgery was 63 \u00b1 5 years (range 56-72). The mean clinical follow-up duration was 23 \u00b1 11 months (range 9-42 months), and functional score follow-up duration was 27 \u00b1 7 months (range 14-42 months). At the latest clinical follow, VAS score, Kapandji score, grip strength, and thumb apposition\/opposition pinch strength all improved significantly (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .05). The mean QuickDASH score was 30 \u00b1 16, and PRWE score was 32 \u00b1 17. Patients who had unilateral partial thumb denervation demonstrated greater improvement in grip strength than patients who had bilateral partial thumb denervation procedures (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .01).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In this clinical case series, our method of basilar thumb joint partial denervation has been effective in improving clinical outcomes and reducing pain due to osteoarthritis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>IV, case series<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15589447231200646","type":"journal-article","created":{"date-parts":[[2023,10,27]],"date-time":"2023-10-27T07:13:31Z","timestamp":1698390811000},"page":"224-229","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Partial Denervation of the Thumb Carpometacarpal Joint: A New Technique"],"prefix":"10.1177","volume":"20","author":[{"given":"Hayman","family":"Lui","sequence":"first","affiliation":[{"name":"School of Medicine and Dentistry, Griffith University, Gold Coast, QLD, Australia"},{"name":"Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2886-1510","authenticated-orcid":false,"given":"Sanjeev","family":"Kakar","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,10,27]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2021.03.004"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2003.12.002"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2007.10.009"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.RVW.17.00156"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2010.10.028"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/BTH.0b013e3181b4c388"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2019.05.003"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/00130911-200103000-00004"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/1558944718760031"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2005.12.012"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/0266-7681(84)90051-2"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(85)80077-0"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-14-00243"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/1558944721994251"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsg.2022.02.005"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1080\/23320885.2016.1278171"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-0712(21)00251-1"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2018.04.030"},{"key":"e_1_3_3_20_2","first-page":"225","article-title":"Ulnar nerve component to innervation of thumb carpometacarpal joint","volume":"31","author":"Miki RA","year":"2011","unstructured":"Miki RA, Kam CC, Gennis ER, et al. Ulnar nerve component to innervation of thumb carpometacarpal joint. 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