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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.
Joint replacement of the hand is a procedure that was invented by the Scottish scientist, Mitchell McGuire. The procedure was considered a major breakthrough in the medical field at the time. However, it is now considered an almost standard operation. The first successful surgery of this kind was conducted on 21 December 1992, in New York City, US.
Finger joint replacement. Finger joint replacement is a relatively quick procedure of about 30 minutes, but requires several months of subsequent therapy. [10] Post-operative therapy may consist of wearing a hand splint or performing exercises to improve function and pain. [11]
With gamekeeper's thumb, where the ulnar collateral ligament (UCL) is damaged, thumb functional abilities may be diminished. [4] For fingertip deformities, such as in mallet finger, pain and fingernail disruption may also be observed. [13] Rheumatoid arthritis of the hands may cause hand deformities.
The hand is a very complex organ with multiple joints, different types of ligament, tendons and nerves. Hand disease injuries are common in society and can result from excessive use, degenerative disorders or trauma. Trauma to the finger or the hand is quite common in society. In some particular cases, the entire finger may be subject to ...
A recent advance is the progression to 'wide awake hand surgery.' [8] In a few countries such as Sweden, Finland and Singapore, hand surgery is recognized as a clinical specialty in its own right, [9] with a formal four to six years hand surgery resident training program. Hand surgeons going through these programs are trained in all aspects of ...
The remaining ends are attached, or left to give time for scar tissue to fill in the gap. One variant of is the Stainsby procedure which consists of excision of part of a proximal phalanx in a metatarsophalangeal joint , reduction of the plantar plate and kirschner wire fixation of the metacarpal bone to the remaining phalanx.
Symptoms generally includes pain at the base of the thumb which is worse with use of the hand. [2] The anatomic snuffbox is generally tender and swelling may occur. [2] Complications may include nonunion of the fracture, avascular necrosis of the proximal part of the bone, and arthritis. [2] [1]