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Osteoarthritis of the base of the thumb
Osteoarthritis of the base of the thumb is a very common condition, particularly in post-menopausal women. Although about 30% of post-menopausal women have radiological changes of arthritis, the majority have no or only minor symptoms. Symptomatic osteoarthritis is confirmed by careful physical exam...
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Published in: | Current orthopaedics 2001-08, Vol.15 (4), p.305-313 |
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Main Authors: | , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that this one cites Items that cite this one |
Online Access: | Get full text |
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Summary: | Osteoarthritis of the base of the thumb is a very common condition, particularly in post-menopausal women. Although about 30% of post-menopausal women have radiological changes of arthritis, the majority have no or only minor symptoms. Symptomatic osteoarthritis is confirmed by careful physical examination and radiological assessment. The radiological appearance enables classification into four stages of increasing severity and this classification serves as a guide to treatment. Initial treatment consists of non-operative measures, surgery being reserved for disabling symptoms resistant to these measures. The surgical options range from ligament reconstruction or osteotomy for early stage disease (painful laxity), through to trapeziectomy, arthrodesis and arthroplasty for more severe osteoarthritis. There is controversy regarding the optimum surgical treatment option for severe osteoarthritis, and debate as to whether the results of trapeziectomy can be improved by the addition of ligament reconstruction procedures. Satisfactory results can be achieved by a variety of different surgical treatments. |
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ISSN: | 0268-0890 1532-2068 |
DOI: | 10.1054/cuor.2001.0196 |