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Basal Joint Arthritis Of The Thumb

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Christian Veillette
Christian Veillette

Basal joint arthritis, or arthritis of the thumb carpometacarpal joint, is a common condition affecting women in particular. It has multiple treatment options depending on the stage of arthritis. For early stage arthritis with instability, volar ligament reconstruction is recommended. For more advanced arthritis, options include ligament reconstruction with tendon interposition, trapezium excision with tendon interposition, or arthrodesis (fusion) of the joint, with the choice depending on patient age, demands, and severity of arthritis. Surgical treatment aims to relieve pain while maintaining function and stability.

Health & MedicineTechnology
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Basal Joint Arthritis of the Thumb Christian Veillette, MD, MSc, BSc(Hon) Orthopaedic Resident PGY-4 Upper Extremity Rounds 2004 St. Michael’s Hospital
Objectives ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Epidemiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Etiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Anatomy and Biomechanics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Anatomy and Biomechanics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Anatomy and Biomechanics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Role of palmar beak ligament ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Anatomy and Biomechanics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Anatomy ,[object Object],[object Object],[object Object],[object Object],[object Object]
Pathoanatomy ,[object Object],[object Object],[object Object],[object Object],[object Object]
Pathoanatomy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical Exam ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical Exam ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical Exam ,[object Object],[object Object],[object Object],[object Object],[object Object]
Imaging ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Classification - Eaton ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Eaton, Lane, Littler. J. Hand Surg. 9A 1984
Classification ,[object Object],[object Object],[object Object],[object Object],[object Object]
Classification ,[object Object],[object Object],[object Object],[object Object],[object Object]
Classification ,[object Object],[object Object],Exact risk and rate of progression cannot be precisely delineated. No longitudinal studies
Differential Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Non-operative Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Splinting ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Operative Indications ,[object Object],[object Object],[object Object],[object Object]
Principles of Surgery ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Procedures ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Algorithm JAAOS. 2000;8:314-323
Trapezium Excision ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Arthrodesis – TM Joint ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Arthrodesis – TM Joint ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Anchovy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Silicone Arthroplasty ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Silicone Arthroplasty ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Osteotomy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Volar Ligament Reconstruction ,[object Object],[object Object],[object Object],[object Object],[object Object]
Volar Ligament Reconstruction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Volar Ligament Reconstruction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Ligament Reconstruction with Tendon Interposition Arthroplasty (LRTI) ,[object Object],[object Object],[object Object],[object Object]
 
LRTI - Results 8% 95% excellent 3 21 Horn resection Double LRTI Baron,Eaton J. Hand Surg 1998 13% 95% excellent 9 24 Excised LRTI Tomaino,Pellegrini,Burton J. Hand Surg. 77A,1995 11% 92% excellent 2 24 Excised LRTI Burton,Pellegrini J. Hand Surg 1986 n/a 92% excellent 3 25 Partial LRTI Eaton,Glickel,Littler J.Hand Surg. 10A(5)1985 Migration/ Loss Height Results F/U (yr) n Trapezium Proced. Author
Double Interposition Arthroplasty ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PubMed ,[object Object],[object Object],[object Object],[object Object]
Ligament reconstruction with or without tendon interposition to treat primary thumb carpometacarpal osteoarthritis. A prospective randomized study. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Thumb carpometacarpal osteoarthritis: arthrodesis compared with ligament reconstruction and tendon interposition. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Recommendations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Basal Joint Arthritis Of The Thumb

  • 1. Basal Joint Arthritis of the Thumb Christian Veillette, MD, MSc, BSc(Hon) Orthopaedic Resident PGY-4 Upper Extremity Rounds 2004 St. Michael’s Hospital
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  • 41. LRTI - Results 8% 95% excellent 3 21 Horn resection Double LRTI Baron,Eaton J. Hand Surg 1998 13% 95% excellent 9 24 Excised LRTI Tomaino,Pellegrini,Burton J. Hand Surg. 77A,1995 11% 92% excellent 2 24 Excised LRTI Burton,Pellegrini J. Hand Surg 1986 n/a 92% excellent 3 25 Partial LRTI Eaton,Glickel,Littler J.Hand Surg. 10A(5)1985 Migration/ Loss Height Results F/U (yr) n Trapezium Proced. Author
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