We read with great interest the recent systematic review by Teo I. and Riley N. on denervation in thumb carpometacarpal joint osteoarthritis. Undoubtedly, denervation of the first carpometacarpal (CMC-1) joint does represent a promising surgical treatment alternative for patients suffering from persistent CMC-1-joint osteoarthritis. A surgical standard, however, has not yet been implemented, as technical approach and indication of this procedure still show great variances. In order to contribute to an evidence-based standardization of CMC-1-joint denervation, we would like to share our considerations, approaches and anatomical findings in this comment.
Keywords: CMC-1; carpometacarpal joint; denervation; osteoarthritis; thumb.
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