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Basal thumb arthritis.

Richard Dias1, Jeevan Chandrasenan, Vaikunthan Rajaratnam

  • 1Pulvertaft Hand Centre, Derby, UK.

Postgraduate Medical Journal
|February 3, 2007
PubMed
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Basal thumb arthritis, a common condition, causes pain at the thumb base, often linked to other hand issues. Treatment ranges from conservative methods to surgery for symptom control and function improvement.

Area of Science:

  • Orthopedics
  • Rheumatology
  • Hand Surgery

Background:

  • Basal thumb arthritis is a prevalent condition affecting the hand, frequently co-occurring with carpal tunnel syndrome and scaphotrapezial arthritis.
  • Patients typically present with activity-related pain at the thumb's base, exacerbated by forceful pinching activities.

Purpose of the Study:

  • To review the current literature on basal thumb arthritis.
  • To discuss clinical aspects, staging, and available treatment options for this condition.

Main Methods:

  • Literature review of current research on basal thumb arthritis.
  • Discussion of clinical presentation, diagnostic methods, and treatment strategies.

Main Results:

  • Diagnosis is primarily based on detailed patient history and physical examination, with provocative maneuvers aiding localization.

Related Experiment Videos

  • Radiographs are essential for confirming diagnosis and staging disease severity for surgical planning.

    • Conclusions:

    • Initial management involves conservative measures like activity modification, NSAIDs, exercises, and splinting.
    • Surgical interventions are considered when conservative treatments fail, aiming to alleviate symptoms and restore hand function.