Portal de Periódicos da CAPES

Basal Joint Arthritis of the Thumb

2000; Volume: 8; Issue: 5 Linguagem: Inglês

10.5435/00124635-200009000-00005

1940-5480

O. Alton Barron, Steven Z. Glickel, Richard G. Eaton,

Tendon Structure and Treatment

Thumb pain secondary to arthritis at the basal joint of the thumb is a common condition, especially in women, and can be quite disabling. An accurate diagnosis can be readily made from the history and examination. Radiographs are used to stage the severity of the arthritis. Splinting is the mainstay of conservative care. Reconstructive procedures for each stage of the disease are aimed at restoring thumb motion and strength. Partial or complete trapeziectomy with tendon interposition and ligament reconstruction to stabilize the metacarpal base is used for advanced disease. Secondary metacarpophalangeal joint hyperextension deformity may need to be addressed. Surgery can reliably improve function and engender high patient satisfaction.