How do you fix a carpometacarpal joint?
How do you fix a carpometacarpal joint?
- Carpometacarpal joint arthroplasty is a surgical procedure in which the trapezium, one of the carpal bones of the wrist that forms part of the thumb joint, is removed and replaced with an implant.
- For an LRTI procedure, a trapeziectomy is performed first to remove your trapezium bone.
What is stage 4 arthritis of the thumb?
Stage IV: All the components of stage III along with destruction of the scaphotrapezial joint. At this stage the CMC joint is usually fixed and some patients may have little to no pain. Treatment: In early stages, stage I and sometimes stage II, con- servative treatment should be considered.
What is Stage 3 CMC arthritis?
The thumb carpometacarpal (CMC) joint is a biconcave saddle joint between the thumb metacarpal and trapezium that allows for multiplanar movement….Table 1.
| Stage | Description |
|---|---|
| III | Advanced carpometacarpal joint space narrowing, sclerosis, and cystic changes with osteophytes or loose bodies > 2 mm |
Which muscle is an important thumb carpometacarpal CMC stabilizer in patients with thumb CMC osteoarthritis?
abductor pollicis longus
Dynamic stability of the thumb CMC joint is provided by nine muscles and tendons, of which the dorsal expansion of the abductor pollicis longus (APL) is the most important.
How painful is CMC surgery?
You will generally have no pain, and the numbing medication usually lasts about 8 or more hours, so you will leave the surgery center with no pain.
When is surgery needed for thumb arthritis?
If you don’t respond to other treatments or if you’re barely able to bend and twist your thumb, your doctor might recommend surgery. Options include: Joint fusion (arthrodesis). The bones in the affected joint are permanently fused.
Is CMC arthritis a disability?
Yes. Arthritis can prompt incapacity, as can numerous other mental and physical conditions. If your arthritis confines your daily movements, or activities you may qualify for disability benefits.
How is CMC joint pain treated?
The following are nonsurgical treatment options:
- Activity modification.
- Massage.
- Over the counter NSAID’s (ibuprofen or naproxen)
- Anti-inflammatory herbs such as turmeric or ginger.
- Topical pain relief creams/gels.
- Occupational/physical therapy.
- Corticosteroid injections.
- Prescription anti-inflammatory medications.
What movement does the carpometacarpal joint allow?
The CMC joint acts as a universal joint, allowing motion in extension, flexion, adduction and abduction. Together, these movements allow the complex movements of the thumb such as opposition, retro-pulsion, palmar and radial abduction, and adduction.
