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Arthritis of the basal joint of the thumb:A critical analysis of treatment options

Authors
Journal
The Journal of Arthroplasty
0883-5403
Publisher
Elsevier
Publication Date
Volume
4
Issue
1
Identifiers
DOI: 10.1016/s0883-5403(89)80055-5
Keywords
  • Basal Joint Arthritis
  • Basal Joint Arthroplasty
  • Silicone Implant Arthroplasty
  • Thumb Carpometacarpal Joint Arthroplasty
  • Thumb Carpometacarpal Arthritis
  • Thumb Carpometacarpal Fusion
Disciplines
  • Medicine

Abstract

Abstract The basal joint of the thumb is commonly afflicted with degenerative changes, especially in postmenopausal women. This can be debilitating because of the importance of the thumb to overall hand function. There are a variety of treatment options for the patient with arthritis of the basal joint of the thumb. Most patients can successfully be treated conservatively, which includes splinting, antiinflammatory medications, physical therapy, and activity modification. For those who fail conservative therapy, surgical treatment is based on clinical staging. Patients with early degenerative changes are candidates for ligament reconstructive procedures or arthrodesis. Those with more advanced disease may benefit from excision, tendon interposition arthroplasty, suspensionplasty, silicone implant arthroplasty, or total joint arthroplasty. The advantages and disadvantages of each procedure, as well as the relative indications and contraindications of each, are critically assessed.

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