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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.
This technique/repair requires transplant sections of bone and cartilage. [10] First, the damaged section of bone and cartilage is removed from the joint. Then a new healthy dowel of bone with its cartilage covering is punched out of the same joint and replanted into the hole left from removing the old damaged bone and cartilage.
The extensor tendon sheaths on the back of the wrist. De Quervain syndrome involves noninflammatory thickening of the tendons and the synovial sheaths that the tendons run through. The two tendons concerned are those of the extensor pollicis brevis and abductor pollicis longus muscles. These two muscles run side by side and function to bring ...
The capsule is sufficiently slack to allow a wide range of movements and a distraction of roughly 3 mm, while reinforcing ligaments and tendons give stability to the joint. It is slightly thicker on its dorsal side than on the other. [1] The first carpometacarpal joint is a frequent site of osteoarthritis in postmenopausal women. [2]
Steroid injection is not effective in people with Type 1 diabetes. [12] If triggering persists 2 months after injection, a second injection can be considered. Most specialists recommend no more than 3 injections because corticosteroids can weaken the tendon and there is a possibility of tendon rupture.
The needle size, length and type should be selected based on the site, depth and patient's body habitus. 22–24G needles are sufficed for most injections. [1] As an example, ultrasound-guided hip joint injection [16] can be considered when symptoms persist despite initial treatment options such as activity modification, analgesia and physical ...
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The CMC joint of the thumb allows a wide range of motion while maintaining stability for grasp and pinch. [ citation needed ] With this in mind, failure to properly recognize and treat the Bennett fracture will not only result in an unstable, painful, arthritic CMC joint with diminished range of motion: it will also result in a hand with ...
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