Indications Carpometacarpal (CMC) arthritis is one of the most common conditions treated by hand surgeons. Surgery is indicated in patients who continue to have severe pain or thumb dysfunction despite nonoperative management. Patients with Eaton stage III or IV trapeziometacarpal…
Indications Anterior oblique ligament reconstruction (Littler procedure) is indicated in patients with Eaton-Littler stage I or early stage II trapeziometacarpal (TM) disease with painful instability or diminished thumb function who have failed nonoperative management ( Table 46.1 ). TABLE 46.1…
Indications Initial management options for thumb basilar joint arthritis include activity modification, nonsteroidal antiinflammatory drugs (NSAIDs), splinting, therapy, and corticosteroid injections. Surgery is indicated in patients who continue to have severe pain or poor function despite nonoperative management. The Eaton-Littler…
Indications Thumb metacarpophalangeal (MCP) joint fusion is indicated in patients with symptomatic arthritis or instability. Clinical examination Patients may complain of pain, swelling, stiffness, or decreased grip strength. Patients with carpometacarpal joint destruction often have compensatory hyperextension of the thumb…
You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here
Indications Distal interphalangeal (DIP) joint arthrodesis is indicated in patients with intractable pain or instability after failure of nonoperative management. Many patients with DIP arthritis present with mucous cysts. Cyst excision may correct a nail deformity, skin changes, or a…
You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here
Indications Implant arthroplasty is indicated for patients with severe pain, deformity, and loss of motion in the proximal interphalangeal (PIP) joint who have failed nonoperative treatment (splinting, antiinflammatory medication, steroid injection, and/or hand therapy). Silicone implants may be used in…
Indications Metacarpophalangeal (MCP) arthroplasty is indicated in patients with chronic pain, deformity, or functional loss. Arthrodesis is poorly tolerated at the MCP level because the arc of motion starts at this joint. Implant arthroplasty is the preferred surgical treatment for…
Indications The boutonniere deformity is characterized by flexion at the proximal interphalangeal (PIP) joint and hyperextension of the distal interphalangeal (DIP) joint. Boutonniere deformities are caused by pathology at the dorsal PIP joint. Disruption of the central slip of the…