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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.
Osteoarthritis commonly affects three main sites in the hand: the base of the thumb, where the thumb and wrist converge, known as the carpometacarpal (CMC) joint; the joint closest to the fingertip, referring to the distal interphalangeal joint (DIP); the middle joint of a finger, referring to the proximal interphalangeal joint (PIP). [5]
Anterior interosseous syndrome is a medical condition in which damage to the anterior interosseous nerve (AIN), a distal motor and sensory branch of the median nerve, classically with severe weakness of the pincer movement of the thumb and index finger, and can cause transient pain in the wrist (the terminal, sensory branch of the AIN innervates the bones of the carpal tunnel).
Swan neck deformity has many of possible causes arising from the DIP, PIP, or even the MCP joints. In all cases, there is a stretching of the volar plate at the PIP joint to allow hyperextension, plus some damage to the attachment of the extensor tendon to the base of the distal phalanx that produces a hyperflexed mallet finger.
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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]
The signs of this trait are having a thumb with a distal phalange that is able to bend backwards beyond the normal range of motion. Some people with hitchhiker's thumb also have a Z-shaped deformity, named after the appearance of this deformity, which is that of the letter Z. Example of a z-shaped deformity in a hitchhiker's thumb
Abduction of the thumb is defined as the movement of the thumb anteriorly, a direction perpendicular to the palm. The abductor pollicis brevis does this by acting across both the carpometacarpal joint and the metacarpophalangeal joint. It also assists in opposition and extension of the thumb.