Basal thumb arthritis

Arthritis often affects an important joint at the base of the thumb in patients after fifty, known as the trapezio-metacarpal joint. Cartilage in the joint becomes worn and bare bone rubs against bare bone, which causes pain.

What causes basal thumb arthritis?

This joint is very mobile and the thumb is used in almost any hand function. It is no surprise that after forty of fifty years, this joint becomes damaged. A genetic predisposition exists.

Symptoms

Symptoms include pain and swelling at the base of the affected thumb along with decreased range of motion and weakening. A deformity can be present with advanced cases.

Diagnosis?

Physical examination and X-rays will determine whether you have this condition.

Functional treatment

Splinting, NSAIDs, cortisone injections can help alleviate the symptoms but when the pain becomes a real problem, surgery can be extremely useful.

Surgery

Different procedures are available to treat this condition.

Trapeziectomy

    The most common is a resection of the trapezium. In this surgery, the trapezium bone is removed.

Arthroscopic debridement with implant interposition

    A revolutionary less invasive approach allows to resect the diseased cartilage and 3 mm of the trapezium through keyhole incisions and to insert an absorbable implant between the trapezium and the metacarpal. This arthroscopic procedure cause only mild discomfort for a few days and requires immobilization for five weeks followed by hand therapy. This technique allows to treat the pain while preserving the anatomy of the thumb and without the need of taking out the trapezium bone. This state of the art procedure was imported from Europe, the USA and Japan. Dr. Brutus performed it for the first time in Canada in 2010.

Total joint replacement

    Alternatively, you may also undergo a joint replacement, in which the joint is reconstructed with an implant, like for the hip or the knee. This joint replacement reconstruction allows faster and more complete recovery and better thumb strength but requires the use of an implant and will not last forever. However, when the implant fails, usually after several years, a formal trapeziectomy can still be performed.

Potential complications of surgery for arthritis of the thumb are rare but include pain, stiffness and nerve or tendon injury; implant related problems such as dislocation, infection and loosening over time.

Joint replacement for the thumb is not for everyone, as certain criteria must be met. Dr. Brutus specializes in these procedures and will be able to advise you on the best option for your needs.

 

Contact us now
It will be our pleasure to give you an appointment for a consultation and treatment in the next few days.




Rated 5 stars on more than 130 reviews

Relieve your pain quickly

Relieve your pain quickly

Get your free guide now!

Practical medical guides

Dr. Brutus offers a series of publications on a variety of health topics. Written in a clear and simple language, in collaboration with experts of various fields, these books are offered free of charge in downloadable version.

By Jean Paul Brutus MD and Nathalie Brisebois

Practical medical guides

Dr. Brutus offers a series of publications on a variety of health topics. Written in a clear and simple language, in collaboration with experts of various fields, these books are offered free of charge in downloadable version.

By Jean Paul Brutus MD and Nathalie Brisebois

Soignez vous-même votre syndrome du canal carpien: Votre guide pratique d’autoguérison

Donnez-nous votre courriel afin de recevoir votre guide gratuitement


ebook 

You have Successfully Subscribed!

Soignez vous-même votre arthrose de la main et de la rhizarthrose: Votre guide pratique pour comprendre et soulager vos symptômes et prévenir les déformations

Donnez-nous votre courriel afin de recevoir votre guide gratuitement


ebook 

You have Successfully Subscribed!

Guide pratique en matière d'accident de travail au Québec: Comprenez et protégez vos droits

Donnez-nous votre courriel afin de recevoir votre guide gratuitement


ebook 

You have Successfully Subscribed!

Soignez vous-même votre doigt à ressaut ou doigt à gachette: Votre guide pratique pour soulager votre main

Donnez-nous votre courriel afin de recevoir votre guide gratuitement


ebook 

You have Successfully Subscribed!

Self help book for carpal tunnel syndrome: The essential guide to a quick recovery

Leave us your email adress to receive your guide

ebook 

You have Successfully Subscribed!

Treat yourself to osteoarthritis of the hand and rhizarthrosis: Your practical guide to understanding and relieving your symptoms and preventing deformities

Leave us your email adress to receive your guide

ebook 

You have Successfully Subscribed!

Self help book for trigger finger: The essential guide to a quick recovery

Leave us your email adress to receive your guide

ebook 

You have Successfully Subscribed!

Self help book for carpal tunnel syndrome: The essential guide to a quick recovery [in spanish]

Leave us your email adress to receive your guide

ebook 

You have Successfully Subscribed!