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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.
Open surgery is usually required for degenerative or more complex TFCC injuries, or if additional damage to the wrist or forearm caused instability or displacement. It is a more invasive surgical technique compared to arthroscopic treatment, but the surgeon has better visibility and access to the TFCC. [citation needed] Options for open surgery
Infectious tenosynovitis in 2.5% to 9.4% of all hand infections. Kanavel's cardinal signs are used to diagnose infectious tenosynovitis. They are: tenderness to touch along the flexor aspect of the finger, fusiform enlargement of the affected finger, the finger being held in slight flexion at rest, and severe pain with passive extension.
Remitting seronegative symmetrical synovitis with pitting edema (or sometimes RS 3 PE) is a rare syndrome identified by symmetric polyarthritis, synovitis, acute pitting edema (swelling) of the back of the hands and/or feet, and a negative serum rheumatoid factor. [2]
Synovectomy is the surgical removal of the synovial tissue surrounding a joint.This procedure is typically recommended to provide relief from a condition in which the synovial membrane or the joint lining becomes inflamed and irritated and is not controlled by medication alone.
Post-traumatic wrist osteoarthritis can be accommodated. A wrist splint, ice, acetaminophen, and NSAIDs may alleviate symptoms. Surgery to change the wrist anatomy to attempt to alleviate pain is an option. [1] [13] [2] [6]