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Basal Joint Arthritis of the Thumb

Dr. Barron is Assistant Clinical Professor of Orthopaedic Surgery, Columbia College of Physicians and Surgeons, New York, and Attending Physician, CV Starr Hand Surgery Center, St. Luke’s-Roosevelt Hospital Center, New York. Dr. Glickel is Associate Clinical Professor of Orthopaedic Surgery, Columbia College of Physicians and Surgeons, and Director, CV Starr Hand Surgery Center. Dr. Eaton is Professor of Clinical Orthopaedic Surgery, Columbia College of Physicians and Surgeons, and Emeritus Director, CV Starr Hand Surgery Center.

Reprint requests: Dr. Barron, CV Starr Hand Surgery Center, 3rd Floor, 1000 Tenth Avenue, New York, NY 10019.

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.

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				M. S. Shuler, S. Luria, and T. E. Trumble Basal Joint Arthritis of the Thumb J. Am. Acad. Ortho. Surg., July 1, 2008; 16(7): 418 - 423. [Abstract] [Full Text] [PDF]

				R. Dias, J. Chandrasenan, V. Rajaratnam, and F. D Burke Basal thumb arthritis Postgrad. Med. J., January 1, 2007; 83(975): 40 - 43. [Abstract] [Full Text] [PDF]