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The hope is that this will slow the pace of development of osteoarthritis. There is no evidence that this procedure can modify the natural course of TMC OA. Osteotomy may be considered for people with mild arthritis. [24] During osteotomy, the metacarpal is cut and a wedge shape bone fragment is removed to move the bone away from the hand. [35]
Inflammatory conditions such as rheumatoid arthritis, gouty arthritis, and systemic lupus erythematosus can also contribute to hand deformities by affecting the joints. Degenerative arthritis, specifically osteoarthritis , functions to evoke impaired hand function due to the gradual deterioration of cartilage .
Osteoarthritis most often occurs in the hands (at the ends of the fingers and thumbs), neck, lower back, knees, and hips. The main symptom is pain , causing loss of ability and often stiffness. The pain is typically made worse by prolonged activity and relieved by rest.
Ulnar deviation, also known as ulnar drift, is a hand deformity in which the swelling of the metacarpophalangeal joints (the big knuckles at the base of the fingers) causes the fingers to become displaced, tending towards the little finger. [1]
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