4.5. Orthropaedic Problems of the Hand - Osetoarthritis at the Base of the Thumb

Question 1

What are the Symptoms of Osetoarthritis at the Base of the Thumb?

Answer 1

1. Pain
2. Stiffness
3. Swelling
4. Deformity
5. Loss of Function

Question 2

Is Osetoarthritis at the Base of the Thumb common?

Answer 2

Yes; 1 in 3 women

Question 3

What is the most common presenting complaint with Osetoarthritis at the Base of the Thumb?

Answer 3

1. Pain on opening Jars

2. Pain on pinching

Question 4

What are the Clinical Signs of Osetoarthritis at the Base of the Thumb?

Answer 4

1. Dorsal Subuxation (Partial Dislocation)
2. Metacarpal Adduction
3. Metacarpophalangeal Joint Hyperextension

Question 5

Where should Osteoarthritis also be tested for if found at the Base of the Thumb?

Answer 5

Scapho-trapezio-trapezoidal Osteoarthritis

In the Wrist

Question 6

What is the Non-Operative Management of Osetoarthritis at the Base of the Thumb?

Answer 6

1. Life-Style Modifications
2. NSAID’s
3. Splint
4. Steroid Injection

Question 7

What is the Operative Management of Osetoarthritis at the Base of the Thumb?

Answer 7

1. Trapeziectomy
2. Fusion
3. Replacement

Question 8

What is the “Gold-Standard” management of Osetoarthritis at the Base of the Thumb?

Answer 8

A Trapeziectomy

Question 9

Why is a Trapeziectomy the Gold Standard management of Osetoarthritis at the Base of the Thumb?

Answer 9

1. Good pain relief

2. Allows for a Moderate Pinch Grip