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Building Legitimacy by Valuing the Expert Opinion in the Conservative Treatment of Thumb Carpometacarpal Joint Osteoarthritis

Cantero-Téllez, Raquel, PhD, PT; Valdes, Kristin, OTD, OT, CHT; O'Brien, Virgina, OTD, OT, CHT; Berjano, Pedro, PhD, MD; Pedersini, Paolo, PT; Villafañe, Jorge Hugo, PhD

Topics in Geriatric Rehabilitation: April/June 2019 - Volume 35 - Issue 2 - p 156–159
doi: 10.1097/TGR.0000000000000226
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Background: This article describes and provide information regarding the expert opinion on the conservative treatment of thumb carpometacarpal (CMC) joint osteoarthritis (OA). The aim of this study was to elucidate expert opinion on the conservative treatment of thumb CMC joint OA.

Methods: A 21-item survey to determine the practice patterns of international hand researchers who treat arthritis of the CMC joint was developed and distributed through a professional online survey service to ensure confidentiality and anonymity.

Results: All experts assessed the intensity of pain in CMC joint OA, and the visual analog scale was the method that was most frequently used by 87.5% of respondents.

Conclusions: This survey provides valuable data regarding current practice patterns by valuing the expert opinion on the conservative treatment of thumb CMC joint OA.

Phisiotherapy Department, University of Malaga and Tecan hand center rehabilitation, Malaga, Spain (Dr Cantero-Téllez); Gannon University, Ruskin, Florida (Dr Valdes); University of Minnesota Medical Center, Minneapolis (Dr O'Brien); IRCCS Istituto Ortopedico Galeazzi, Milan, Italy (Dr Berjano); and IRCCS Fondazione Don Carlo Gnocchi, Milan, Italy (Mr Pedersini and Dr Villafañe).

Correspondence: Jorge Hugo Villafañe, PhD, IRCCS Fondazione Don Carlo Gnocchi, Via Alfonso Capecelatro, 66, 20148 Milan, Italy (

The authors report no conflicts of interest.

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