Thumb arthritis or also called basal joint arthritis is a common form of osteoarthritis that affects the hands. Thumb arthritis surgery occurs when the cartilage pads away from the limiting end of the bone that forms the thumb joint (carpometacarpal joint). Thumb arthritis can cause severe hand pain, swelling and decreased range of motion that makes it difficult for you to do simple tasks such as turning the doorknob and opening the bottle.
Thumb arthritis is usually caused due to trauma or injury to the joint. Some people also develop thumb arthritis because of osteoarthritis in larger joints. Basal joints allow the thumb to perform various movements such as pinching, grasping and capturing objects complications. The bones of the thumb basal joint are the first metacarpal bone that travels through the heel of the hand and the trapezium is located at the base of the thumb.
In a normal basal joint, cartilage includes the ends of the bones acting as pads and allowing the bones to glide smoothly against each other. In arthritis, the cartilage that covers the end of the bone becomes worse and the smooth surface becomes rough. The bones then rub against each other and cause joint damage. Joint damage can result in new bone growth along the side of the existing bone (bone bulge) which can produce a real lump in the thumb joint.
If you do not respond to other treatments or if you can barely bend and rotate your thumb, the only way chosen is surgery.
- Joint fusion (arthrodesis): In arthrodesis, the doctor will permanently combine the bones in the affected joint to increase stability and reduce pain. Joints that are held together can withstand the burden without pain, but do not have flexibility.
- Osteotomy or bone cutting: In this procedure, doctors will change the position of the affected joints to correct deformities in the joint.
- Trapeziectomy: In this procedure, the doctor will remove one of the thumb stretched bones called the trapezium.
- Joint replacement (arthroplasty): In this procedure, the doctor will remove some or all of the most important joints and replace them with the craft from one of yourendons. Plastics or metal devices called reviews prostheses are also being developed to replace jars. But for now, arthroplastitendon is more commonly used in carrying out this procedure.
Each of these surgical procedures can be performed as an outpatient procedure. After surgery, your thumb and wrist may have to wear a cast or splint for up to six weeks. After the cast is removed, thumb arthritis surgery you must carry out physical therapy to restore hand movements and strength. Usually, you can resume normal activities within six months after surgery.
Treatment of arthritis that is given by a doctor depends on the type and severity. In addition to relieving symptoms, arthritis treatment also aims to improve the function of the joints.
Under normal circumstances, cartilage protects the ends of the bones and is a cushion to reduce friction between bones. When cartilage is damaged by arthritis in the saddle joint, the bones rub against each other and cause damage to the joints. This damage video can also cause the growth of new bone on the side of the bone that already existed which will eventually form a lump in the thumb joint.
Saddle joint arthritis makes it difficult for people with simple movements, such as opening a jar or turning the doorknob. This is because saddle joint arthritis can cause swelling, pain, and reduced strength and area of movement.
Lower pain in the thumb is the initial and main symptom of arthritis in the thumb saddle joint. This pain arises especially when the person is holding, or pinching an object. In addition to pain, sufferers can also feel swelling and stiffness at the base of the thumb. Bones on the bottom of the thumb can also be seen enlarging, as the area of movement decreases and the power to move things.
To reduce pain, usually used nonsteroidal anti-inflammatory drugs or NSAIDs (eg ibuprofen or diclofenac), analgesics (eg paracetamol or tramadol), and apply recovery creams or ointments containing capsaicin or menthol according to the doctor’s dosage and rules of use.
To deal with cases of arthritis due to autoimmune doctors can prescribe disease-modifying antirheumatic drugs (DMARDs), for example hydroxychlorquine or methotrexate. Along with the administration of DMARDs, infliximab or etanercept (a class of biologic response modifiers) can also be given. In addition, doctors can also provide corticosteroid drugs, such as prednisone.
In addition to drugs, physiotherapy is also recommended by doctors with the aim of strengthening the muscles around the joints and increasing body movements. Reducing weight, regular exercise (especially exercise in water), warm or cold compresses on the joints, and using a stick are also needed to reduce the symptoms of arthritis.
If the symptoms of arthritis have been very severe and can not be overcome again, either by medication or physiotherapy, the doctor will recommend surgery. Some types of surgery that can be performed are joint or arthodesis procedures, bone cutting procedures to improve normal body lines (osteotomy), as well as joint replacement procedures or arthroplasty
Arthritis in the thumb saddle joint can be treated with a combination of surgery and nonoperative treatment as follows.
- Pain relievers, such as ibuprofen, acetaminophen, and corticosteroid injections to relieve swelling.
- Bebat (splint) can play a role in limiting the movement of the wrist and thumb, and supporting the joint. This tool aims to reduce the risk of pain, rest the joints and help restore the joints in the right position.
In addition, surgery can be performed with a variety of methods, such as joint replacement / arthroplasty, fusion of the joints / arthrodesis, joint support of the bones / osteotomy, and removal of the bone in the trapeziectomy. Thumb arthritis surgery Splint or casts are worn postoperatively for approximately six weeks to help with the recovery process followed by a therapeutic process to restore the original strength and movement of the hand.