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Trapeziometacarpal osteoarthritis (TMC OA) is, also known as osteoarthritis at the base of the thumb, thumb carpometacarpal osteoarthritis, basilar (or basal) joint arthritis, or as rhizarthrosis. [ 3 ] [ 1 ] [ 2 ] This joint is formed by the trapezium bone of the wrist and the metacarpal bone of the thumb.
Grant Medical Center is an accredited hospital from The Joint Commission, and has been since 2010. [8] The Joint Commission Quality Check specifically recognizes Grant Medical Center for its ability in Joint Replacement - Shoulder, Joint Replacement - Knee, Joint Replacement - Hip, and Hip Fracture treatments.
Heberden's nodes are hard or bony swellings that can develop in the distal interphalangeal joints (DIP) (the joints closest to the end of the fingers and toes). [1] They are a sign of osteoarthritis and are caused by formation of osteophytes (calcific spurs) of the articular (joint) cartilage in response to repeated trauma at the joint.
Osteoarthritis (OA) is a type of degenerative joint disease that results from breakdown of joint cartilage and underlying bone. [5] [6] It is believed to be the fourth leading cause of disability in the world, affecting 1 in 7 adults in the United States alone. [7]
Exostoses are sometimes shaped like spurs, such as calcaneal spurs. Osteomyelitis , a bone infection, may leave the adjacent bone with exostosis formation. Charcot foot , the neuropathic breakdown of the feet seen primarily in diabetics , can also leave bone spurs that may then become symptomatic.
The inferior surface is oval, concave from side to side, convex from before backward, so as to form a saddle-shaped surface for articulation with the base of the first metacarpal bone. This saddle-shaped articulation is partially responsible for the thumb's opposable motion. The dorsal surface is smooth. The palmar surface is narrow and rough.
Complications of treatment may include joint stiffness and scar formation. [26] Recurrence of the lesion is more common following excision of a volar ganglion cyst in the wrist. Incomplete excision that fails to include the stalk or pedicle also may lead to recurrence, as will failing to execute a layered closure of the incision.
Surgical extraction of osteochondromas is sometimes beneficial. Shown is an osteochondroma surgically extracted from a ten-year-old patient. The bone is the cylindrical stalk at the bottom, about 1/2 inch long, the two diagonal growths are cartilage. This morphology is typical of a tibial bone spur.
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