Thumb carpal metacarpal arthritis

Ann E. Van Heest, Patricia Kallemeier

Research output: Contribution to journalArticlepeer-review

80 Scopus citations

Abstract

The thumb carpometacarpal (CMC) joint is the most common site of surgical reconstruction for osteoarthritis in the upper extremity. In patients older than age 75 years, thumb CMC osteoarthritis has a radiographic prevalence of 25% in men and 40% in women. The thumb CMC joint obtains its stability primarily through ligamentous support. A diagnosis of thumb CMC arthritis is based on symptoms of localized pain, tenderness and instability on physical examination, and radiographic evaluation. A reproducible radiographic classification for disease severity is based on the four-stage system described by Eaton. Nonsurgical treatment options include hand therapy, splinting, and injection. Surgical treatment is tailored to the extent of arthritic involvement and may include ligament reconstruction, metacarpal extension osteotomy, arthroscopic partial trapeziectomy, implant arthroplasty, and trapeziectomy with or without ligament reconstruction and tendon interposition.

Original languageEnglish (US)
Pages (from-to)140-151
Number of pages12
JournalJournal of the American Academy of Orthopaedic Surgeons
Volume16
Issue number3
DOIs
StatePublished - Mar 2008

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