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Update on Thumb Basal Joint Arthritis Surgery
Jeffrey G Trost1, Alejandro Gimenez1, Kimberly Goldie Staines1
1From the Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine; and Department of Occupational Therapy and Division of Plastic Surgery, Michael E. DeBakey Veterans Affairs Medical Center.
Learning Objectives:
After studying this article, the participant should be able to: 1. Comprehend anatomy and biomechanics of the normal and arthritic trapeziometacarpal joint. 2. Evaluate best evidence for diagnosis and for operative and nonoperative treatment of thumb osteoarthritis. 3. Understand treatment pitfalls of basilar joint arthritis and complication avoidance.
Summary:
Articular and ligamentous anatomy of the trapeziometacarpal joint enables complex motions. Disability from arthritis, common at the trapeziometacarpal joint, is debilitating. Furthering the understanding of how trapeziometacarpal arthritis develops can improve treatment. The authors provide current best evidence for diagnosis and treatment of basilar joint arthritis. Pitfalls in treatment are discussed.
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