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Thumb hypoplasia is a spectrum of congenital abnormalities of the thumb varying from small defects to complete absence of the thumb. [1] It can be isolated, when only the thumb is affected, and in 60% of the cases [ 2 ] it is associated with radial dysplasia [ 1 ] (or radial club, radius dysplasia, longitudinal radial deficiency).
However, loose knee and finger joints can occur. Signs of osteoarthritis usually begin in early adulthood. [3] Children with recessive MED experience joint pain, particularly of the hips and knees, and commonly have deformities of the hands, feet, knees, or vertebral column (like scoliosis).
Jaccoud arthropathy (JA), is a chronic non-erosive reversible joint disorder that may occur after repeated bouts of arthritis. [1] [2] It is caused by inflammation of the joint capsule and subsequent fibrotic retraction, causing ulnar deviation of the fingers, through metacarpophalangeal joint (MCP) subluxation, [1] [3] primarily of the ring and little-finger. [3]
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.
A different approach is to place the metacarpal of the middle finger in line with the ulna with a fixation pin. [1] [3] If radial tissues are still too short after soft-tissue stretching, soft tissue release and different approaches for manipulation of the forearm bones may be used to enable the placement of the hand onto the ulna.
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.
For the thumb to adequately grip, certain thumb criteria must be met (e.g. suitable position and length, stable joints and good thenar muscle strength). [4] Because triphalangeal thumbs cannot easily oppose and do not possess many of the optimal qualities found in most opposable thumbs, they tend to cause the hand to be less effective in use ...
Chondrocalcinosis may be accompanied by joint pain, joint swelling, and decreased range of motion. [9] Chondrocalcinosis sites. Chondrocalcinosis affects common areas such as the knee, wrist, hand, and pelvis. [10] Chondrocalcinosis can also be visualized affecting the spine.
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