Osteoarthritis can affect joints in any part of the body, including the thumb. Early diagnosis and treatment help people with thumb osteoarthritis manage their symptoms. Usually, osteoarthritis of the thumb develops after 40 years of age. Osteoarthritis is a degenerative joint disease.
Capsulotomy / Capsulectomy CPT Codes
Metrics details. Osteoarthritis of the thumb CMC joint is the most frequent degenerative arthritis in the upper limb. It is a very common cause of pain, loss of strength and functional impairment of the hand, reported in approximately one in three postmenopausal females. Conservative treatment analgesics, NSAIDs, splinting and corticosteroid injections can be helpful, but fail to provide long term relief in many patients. Surgery is indicated in these cases. Although each of these treatments have their specific limitations, most of the results published in the literature have indicated a satisfactory pain relief, and varied degrees of decrease in pinch strength and in range of motion. The suspensionplasty techniques aim at maintaining the trapezial height after trapeziectomy.
The trapeziometacarpal joint is commonly affected, second in frequency only to the distal interphalangeal joint. Trapeziometacarpal joint osteoarthritis, however, can be much more disabling secondary to pain and weakness of grip and pinch strength. The surgical management of symptomatic basilar joint arthrosis varies according to the anatomy, radiographic staging, intraoperative confirmation of disease stage, and patient requirements. There are minimal constraints from an osseous standpoint, making the ligamentous structures extremely important in providing stability to the base of the thumb. A total of 16 ligaments have been described around the thumb CMC joint, 7 of which are primary stabilizers of the thumb metacarpal TM.
Suffering from thumb arthritis is not only painful, but can affect your ability to perform simple, every day tasks. Unfortunately this condition affects a significant percentage of women over the age of While there are many treatment options, not all will provide the long-term relief that will improve your quality of life. The thumb must be able to come together to touch the fingers and grasp. The trapeziometacarpal joint CMC at the bottom of the thumb is primarily responsible for providing the thumb with the important attributes of mobility and rotation.