Citation, DOI, disclosures and article data
Citation:
Knipe H, Metacarpal scaphoid distance. Reference article, Radiopaedia.org (Accessed on 29 Mar 2025) https://doi.org/10.53347/rID-201292
Disclosures:
At the time the article was created Henry Knipe had the following disclosures:
- Micro-X Ltd, Shareholder (past)
These were assessed during peer review and were determined to
not be relevant to the changes that were made.
View Henry Knipe's current disclosures
Disclosures:
At the time the article was last revised Henry Knipe had the following disclosures:
- Micro-X Ltd, Shareholder (past)
These were assessed during peer review and were determined to
not be relevant to the changes that were made.
View Henry Knipe's current disclosures
The metacarpal scaphoid distance is a measure of the metacarpal subsidence post trapeziectomy and corresponds to the absolute scaphometacarpal space 1,2.
Measurement
The metacarpal scaphoid distance has been measured on both AP hand radiographs 3 and lateral thumb radiographs 1. It is the shortest distance between the most proximal aspect of the first metacarpal base and the most distal aspect of the scaphoid 1,3.
Interpretation
There is mixed data between the metacarpal scaphoid distance and outcomes besides complete scaphometacarpal abutment 2-4.
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1. Molin U, Evans K, Wilcke M. Does Proximal Migration of the First Metacarpal Correlate with Remaining Pain After Trapeziectomy? J Plast Surg Hand Surg. 2021;56(1):11-5. doi:10.1080/2000656x.2021.1898975 - Pubmed
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2. Rezzadeh K, Donnelly M, Daar D, Hacquebord J. Scaphometacarpal Space and Postoperative Outcomes: A Systematic Review. J Wrist Surg. 2020;9(3):263-7. doi:10.1055/s-0039-1692477 - Pubmed
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3. Reissner L, Marks M, Schindele S, Herren D. Comparison of Clinical Outcome with Radiological Findings After Trapeziectomy with Ligament Reconstruction and Tendon Interposition. J Hand Surg Eur Vol. 2015;41(3):335-9. doi:10.1177/1753193415616959 - Pubmed
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4. Liu Q, Xu B, Lyu H, Lee J. Differences Between Simple Trapeziectomy and Trapeziectomy with Ligament Reconstruction and Tendon Interposition for the Treatment of Trapeziometacarpal Osteoarthritis: A Systematic Review and Meta-Analysis. Arch Orthop Trauma Surg. 2021;142(6):987-96. doi:10.1007/s00402-020-03707-w - Pubmed
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