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The TMC joint is a synovial joint between the trapezium bone of the wrist and the metacarpal bone at the base of the thumb. This joint is a so-called saddle joint (articulatio sellaris), unlike the CMC joints of the other four fingers which are ellipsoid joints. [17] This means that the surfaces of the TMC joint are both concave and convex.
Activities that use forceful wrist extension such as rising from a chair or push-ups may be painful. In the absence of gout, chondrocalcinosis, rheumatoid arthritis, or prior distal radius fracture, a person with gradual onset limited motion and pain in the wrist likely has wrist osteoarthritis. [citation needed]
Over time, this process contributes to joint pain, cartilage damage, bone erosion, swelling, and stiffness. [ 32 ] Gouty arthritis, commonly referred to as gout, is another form of inflammatory arthritis that can lead to hand deformities due to deposition of monosodium urate crystals in the joints and other tissues, forming nodular masses known ...
As the arthritis progresses, the finger gets deformed and lose its functions. Moreover, many patients with rheumatoid arthritis have this dysfunction present in both hands and become disabled due to chronic pain. Osteoarthritis is most common at the base of thumb and is usually treated with pain pills, splinting or steroid injections. [2]
Any movement of the thumb and wrist causes the patient pain, inflammation and swelling. The presence of anomalous or variant muscles in the fourth compartment may result in chronic dorsal wrist pain, a condition known as the fourth compartment syndrome. [4] Intersection syndrome can be caused by direct trauma to the second extensor compartment.
Symptoms are pain and tenderness at the radial side of the wrist, fullness or thickening over the thumb side of the wrist, painful radial abduction of the thumb, and difficulty gripping with the affected side of the hand. [2] Pain is made worse by movement of the thumb and wrist, and may radiate to the thumb or the forearm. [2]