Hoffler C Edward, Matzon Jonas L, Lutsky Kevin F, Kim Nayoung, Beredjiklian Pedro K
J Am Acad Orthop Surg. 2015 Dec;23(12):778-82. doi: 10.5435/JAAOS-D-15-00329. Epub 2015 Nov 4.
We hypothesize that thumb basilar joint osteoarthritis (TBJA) radiographic stage does not correlate with patient-reported measures of symptom severity.
Patients with unilateral TBJA who completed the 11-item QuickDASH (Disabilities of the Arm, Shoulder, and Hand), Short-Form 12 Health Survey (SF-12) Mental Component and SF-12 Physical Component surveys were prospectively enrolled in the study. The Eaton-Littler radiographic stage was assigned for each patient. The correlation between the radiographic score and disease stage was calculated.
Sixty-two patients (15 men, 47 women; average age, 62.3 years) formed the basis of this study. The average QuickDASH score (and standard deviation) for patients with stage 1 TBJA was 31.5 (11.4); for those with stage 2, it was 37.9 (17.4); with stage 3, it was 30.1 (13.0), and with stage 4, it was 39.4 (12.5). Eaton-Littler stage did not correlate significantly with QuickDASH scores (rho = -0.014, P = 0.91). Neither SF-12 Mental Component scores (MCS-12: rho = 0.019, P = 0.89) nor the SF-12 Physical Component scores (PCS-12: rho = 0.145, P = 0.26) correlated with TBJA stage.
Radiographic severity in TBJA does not correlate with validated patient-reported symptom scores. Metrics that link radiographic and subjective components of TBJA may improve surgical decision making and monitoring of treatment response.
Prognostic, level II.
我们假设拇指基底关节骨关节炎（TBJA）的放射学分期与患者报告的症状严重程度指标不相关。
前瞻性纳入单侧TBJA患者，这些患者完成了11项上肢、肩部和手部功能障碍快速评估量表（QuickDASH）、简明健康调查简表12（SF-12）精神健康分量表和SF-12身体健康分量表调查。为每位患者确定伊顿-利特勒放射学分期。计算放射学评分与疾病分期之间的相关性。
62例患者（15例男性，47例女性；平均年龄62.3岁）构成了本研究的基础。1期TBJA患者的平均QuickDASH评分（及标准差）为31.5（11.4）；2期患者为37.9（17.4）；3期患者为30.1（13.0）；4期患者为39.4（12.5）。伊顿-利特勒分期与QuickDASH评分无显著相关性（rho = -0.014，P = 0.91）。SF-12精神健康分量表评分（MCS-12：rho = 0.019，P = 0.89）和SF-12身体健康分量表评分（PCS-12：rho = 0.145，P = 0.26）均与TBJA分期无关。
TBJA的放射学严重程度与经验证的患者报告症状评分不相关。将TBJA的放射学和主观成分联系起来的指标可能会改善手术决策和治疗反应监测。
预后性研究，二级。
