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Arthritis of the Carpometacarpal Joint

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The Thumb

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Abstract

Osteoarthritis of the carpometacarpal (CMC) joint of the thumb is very common due to inherent wide range of motion of the joint. As high compressive and shear forces occur across the thumb CMC joint during pinch motion, ligament instability can lead to the subsequent development of arthritic changes. Patients with CMC joint arthritis usually suffer pain and weakness of the thumb which significantly alter their hand functions. This review will briefly introduce the pathophysiology and clinical features of the CMC arthritis and will discuss the possible surgical options including ligament reconstruction, extension osteotomy, simple trapeziectomy, interposition arthroplasty, trapezium excision and ligament reconstruction procedures, arthrodesis, and prosthetic arthroplasty. Clinical outcomes after different surgical procedures are also presented.

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Author information

Authors and Affiliations

  1. Department of Orthopedic Surgery, Yeouido St. Mary’s Hospital, The Catholic University of Korea, Seoul, South Korea

    Seok-Whan Song

  2. Department of Orthopedic Surgery, St. Paul’s Hospital, The Catholic University of Korea, Seoul, South Korea

    Joo-Yup Lee

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  1. Seok-Whan Song
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  2. Joo-Yup Lee
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Editors and Affiliations

  1. W Institute for Hand and Reconstructive Microsurgery, Department of Plastic and Reconstructive Surgery, W Hospital, Daegu, Korea (Republic of)

    Sang Hyun Woo

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Song, SW., Lee, JY. (2019). Arthritis of the Carpometacarpal Joint. In: Woo, S. (eds) The Thumb. Springer, Singapore. https://doi.org/10.1007/978-981-10-4400-7_9

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  • DOI: https://doi.org/10.1007/978-981-10-4400-7_9

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-10-4399-4

  • Online ISBN: 978-981-10-4400-7

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