Journal
TECHNIQUES IN ORTHOPAEDICS
Volume 24, Issue 1, Pages 23-26Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/BTO.0b013e3181a07f4c
Keywords
Thumb arthritis; Carpometacarpal joint; Thumb arthroplasty; LRTI; Eaton classification; Trapeziectomy; CMC fusion
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Thumb carpometacarpal joint is the most common upper extremity arthritis requiring surgical reconstruction. Varying clinical pictures from occasional pain to disabling instability make identifying and treating this disease both challenging and gratifying. Nonoperative interventions such as activity modifications, occupational therapy, and splinting can be effective but surgical treatment remains the standard for end stage arthritis. Various surgical options such as arthroscopy, osteotomy, fusion, and arthroplasty are all discussed in this chapter.
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