Trapeziometacarpal osteoarthritis: Difference between revisions
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== | {{SI}} | ||
{{Infobox medical condition | |||
[[File: | | name = Trapeziometacarpal osteoarthritis | ||
| image = [[File:Osteoarthritis_of_the_CMC_joint.png|thumb|X-ray of osteoarthritis of the CMC joint]] | |||
| caption = X-ray of osteoarthritis of the CMC joint | |||
| synonyms = [[Basal joint arthritis]], [[thumb arthritis]] | |||
| specialty = [[Rheumatology]], [[Orthopedic surgery]] | |||
| symptoms = [[Pain]] at the base of the [[thumb]], [[swelling]], [[stiffness]], [[decreased range of motion]] | |||
| onset = Typically after age 40 | |||
| duration = [[Chronic condition|Chronic]] | |||
| causes = [[Degenerative joint disease]], [[overuse]], [[genetic predisposition]] | |||
| risks = [[Age]], [[female gender]], [[manual labor]], [[previous injury]] | |||
| diagnosis = [[Physical examination]], [[X-ray]] | |||
| differential = [[Rheumatoid arthritis]], [[gout]], [[tenosynovitis]] | |||
| treatment = [[Nonsteroidal anti-inflammatory drug|NSAIDs]], [[splinting]], [[corticosteroid injection]], [[surgery]] | |||
| prognosis = Variable, can be managed with treatment | |||
| frequency = Common in older adults | |||
}} | |||
[[File:Anatomy_of_the_hand.png|thumb|Anatomy of the hand]] | |||
[[File:Trapeziometacarpal_osteoarthritis_with_subluxation.jpg|thumb|Trapeziometacarpal osteoarthritis with subluxation]] | |||
[[File:Forces_after_trapeziectomy.jpg|left|thumb|Forces after trapeziectomy]] | |||
[[File:Arthrodesis_of_the_thumb.jpg|left|thumb|Arthrodesis of the thumb]] | |||
[[File:X-ray_of_trapeziometacarpal_joint_replacement,_F,_cropped.jpg|thumb|X-ray of trapeziometacarpal joint replacement]] | |||
[[File:Osteotomy_of_the_thumb.jpg|left|thumb|Osteotomy of the thumb]] | |||
'''Trapeziometacarpal osteoarthritis''' is a degenerative joint disease affecting the [[carpometacarpal joint]] (CMC) of the [[thumb]]. This condition is characterized by the deterioration of the [[articular cartilage]] and changes in the surrounding bone structure, leading to pain, stiffness, and reduced function of the thumb. | '''Trapeziometacarpal osteoarthritis''' is a degenerative joint disease affecting the [[carpometacarpal joint]] (CMC) of the [[thumb]]. This condition is characterized by the deterioration of the [[articular cartilage]] and changes in the surrounding bone structure, leading to pain, stiffness, and reduced function of the thumb. | ||
== Anatomy == | == Anatomy == | ||
[[File:Anatomy_of_the_hand.png|thumb|Anatomy of the hand showing the location of the trapeziometacarpal joint.]] | [[File:Anatomy_of_the_hand.png|thumb|Anatomy of the hand showing the location of the trapeziometacarpal joint.]] | ||
The trapeziometacarpal joint is located at the base of the thumb, where the [[trapezium bone]] of the wrist meets the first [[metacarpal bone]] of the thumb. This joint is a saddle joint, allowing for a wide range of motion, including flexion, extension, abduction, adduction, and opposition. | The trapeziometacarpal joint is located at the base of the thumb, where the [[trapezium bone]] of the wrist meets the first [[metacarpal bone]] of the thumb. This joint is a saddle joint, allowing for a wide range of motion, including flexion, extension, abduction, adduction, and opposition. | ||
== Pathophysiology == | == Pathophysiology == | ||
In trapeziometacarpal osteoarthritis, the [[cartilage]] that cushions the joint wears down over time, leading to bone-on-bone contact. This results in pain and inflammation. As the condition progresses, [[osteophytes]] (bone spurs) may form, and the joint may become deformed. | In trapeziometacarpal osteoarthritis, the [[cartilage]] that cushions the joint wears down over time, leading to bone-on-bone contact. This results in pain and inflammation. As the condition progresses, [[osteophytes]] (bone spurs) may form, and the joint may become deformed. | ||
== Symptoms == | == Symptoms == | ||
Common symptoms of trapeziometacarpal osteoarthritis include: | Common symptoms of trapeziometacarpal osteoarthritis include: | ||
* Pain at the base of the thumb, especially during pinching or gripping activities. | * Pain at the base of the thumb, especially during pinching or gripping activities. | ||
| Line 23: | Line 36: | ||
* Weakness in the thumb. | * Weakness in the thumb. | ||
* A grinding sensation in the joint. | * A grinding sensation in the joint. | ||
== Diagnosis == | == Diagnosis == | ||
Diagnosis is typically made based on clinical examination and patient history. [[X-rays]] can be used to confirm the diagnosis by showing joint space narrowing, subchondral sclerosis, and osteophyte formation. | Diagnosis is typically made based on clinical examination and patient history. [[X-rays]] can be used to confirm the diagnosis by showing joint space narrowing, subchondral sclerosis, and osteophyte formation. | ||
== Treatment == | == Treatment == | ||
[[File:Trapeziometacarpal_osteoarthritis_with_subluxation.jpg|left|thumb|X-ray showing subluxation in trapeziometacarpal osteoarthritis.]] | |||
[[File:Trapeziometacarpal_osteoarthritis_with_subluxation.jpg|thumb|X-ray showing subluxation in trapeziometacarpal osteoarthritis.]] | |||
Treatment options for trapeziometacarpal osteoarthritis include: | Treatment options for trapeziometacarpal osteoarthritis include: | ||
=== Non-surgical === | === Non-surgical === | ||
* Activity modification and rest. | * Activity modification and rest. | ||
| Line 39: | Line 46: | ||
* [[Nonsteroidal anti-inflammatory drugs]] (NSAIDs) for pain relief. | * [[Nonsteroidal anti-inflammatory drugs]] (NSAIDs) for pain relief. | ||
* [[Corticosteroid injections]] to reduce inflammation. | * [[Corticosteroid injections]] to reduce inflammation. | ||
=== Surgical === | === Surgical === | ||
* [[Trapeziectomy]]: Removal of the trapezium bone. | * [[Trapeziectomy]]: Removal of the trapezium bone. | ||
* [[Arthrodesis]]: Fusion of the joint to eliminate movement and pain. | * [[Arthrodesis]]: Fusion of the joint to eliminate movement and pain. | ||
* [[Joint replacement]]: Replacement of the joint with a prosthesis. | * [[Joint replacement]]: Replacement of the joint with a prosthesis. | ||
* [[Osteotomy]]: Realignment of the bones to improve joint function. | * [[Osteotomy]]: Realignment of the bones to improve joint function.]] | ||
[[File:Forces_after_trapeziectomy.jpg|left|thumb|Diagram showing forces after trapeziectomy.]]]] | |||
[[File:Forces_after_trapeziectomy.jpg|thumb|Diagram showing forces after trapeziectomy.]] | [[File:Arthrodesis_of_the_thumb.jpg|left|thumb|X-ray of thumb arthrodesis.]]]] | ||
[[File:Arthrodesis_of_the_thumb.jpg|thumb|X-ray of thumb arthrodesis.]] | [[File:X-ray_of_trapeziometacarpal_joint_replacement,_F,_cropped.jpg|left|thumb|X-ray of trapeziometacarpal joint replacement.]]]] | ||
[[File:X-ray_of_trapeziometacarpal_joint_replacement,_F,_cropped.jpg|thumb|X-ray of trapeziometacarpal joint replacement.]] | [[File:Osteotomy_of_the_thumb.jpg|left|thumb|X-ray showing osteotomy of the thumb.]] | ||
[[File:Osteotomy_of_the_thumb.jpg|thumb|X-ray showing osteotomy of the thumb.]] | |||
== Prognosis == | == Prognosis == | ||
The prognosis for individuals with trapeziometacarpal osteoarthritis varies. Non-surgical treatments can provide relief for many patients, but surgery may be necessary for those with severe symptoms. Surgical outcomes are generally favorable, with most patients experiencing significant pain relief and improved function. | The prognosis for individuals with trapeziometacarpal osteoarthritis varies. Non-surgical treatments can provide relief for many patients, but surgery may be necessary for those with severe symptoms. Surgical outcomes are generally favorable, with most patients experiencing significant pain relief and improved function. | ||
== See also == | |||
== | |||
* [[Osteoarthritis]] | * [[Osteoarthritis]] | ||
* [[Carpometacarpal joint]] | * [[Carpometacarpal joint]] | ||
* [[Thumb]] | * [[Thumb]] | ||
== References == | == References == | ||
* "Trapeziometacarpal Osteoarthritis." American Society for Surgery of the Hand. Accessed October 2023. | * "Trapeziometacarpal Osteoarthritis." American Society for Surgery of the Hand. Accessed October 2023. | ||
* "Osteoarthritis of the Thumb." Arthritis Foundation. Accessed October 2023. | * "Osteoarthritis of the Thumb." Arthritis Foundation. Accessed October 2023. | ||
[[Category:Osteoarthritis]] | [[Category:Osteoarthritis]] | ||
[[Category:Hand diseases]] | [[Category:Hand diseases]]]] | ||
Latest revision as of 04:26, 14 April 2025
Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC
| Trapeziometacarpal osteoarthritis | |
|---|---|
 | |
| Synonyms | Basal joint arthritis, thumb arthritis |
| Pronounce | N/A |
| Specialty | Rheumatology, Orthopedic surgery |
| Symptoms | Pain at the base of the thumb, swelling, stiffness, decreased range of motion |
| Complications | N/A |
| Onset | Typically after age 40 |
| Duration | Chronic |
| Types | N/A |
| Causes | Degenerative joint disease, overuse, genetic predisposition |
| Risks | Age, female gender, manual labor, previous injury |
| Diagnosis | Physical examination, X-ray |
| Differential diagnosis | Rheumatoid arthritis, gout, tenosynovitis |
| Prevention | N/A |
| Treatment | NSAIDs, splinting, corticosteroid injection, surgery |
| Medication | N/A |
| Prognosis | Variable, can be managed with treatment |
| Frequency | Common in older adults |
| Deaths | N/A |
Trapeziometacarpal osteoarthritis is a degenerative joint disease affecting the carpometacarpal joint (CMC) of the thumb. This condition is characterized by the deterioration of the articular cartilage and changes in the surrounding bone structure, leading to pain, stiffness, and reduced function of the thumb.
Anatomy[edit]
The trapeziometacarpal joint is located at the base of the thumb, where the trapezium bone of the wrist meets the first metacarpal bone of the thumb. This joint is a saddle joint, allowing for a wide range of motion, including flexion, extension, abduction, adduction, and opposition.
Pathophysiology[edit]
In trapeziometacarpal osteoarthritis, the cartilage that cushions the joint wears down over time, leading to bone-on-bone contact. This results in pain and inflammation. As the condition progresses, osteophytes (bone spurs) may form, and the joint may become deformed.
Symptoms[edit]
Common symptoms of trapeziometacarpal osteoarthritis include:
- Pain at the base of the thumb, especially during pinching or gripping activities.
- Swelling and tenderness around the joint.
- Reduced range of motion.
- Weakness in the thumb.
- A grinding sensation in the joint.
Diagnosis[edit]
Diagnosis is typically made based on clinical examination and patient history. X-rays can be used to confirm the diagnosis by showing joint space narrowing, subchondral sclerosis, and osteophyte formation.
Treatment[edit]
Treatment options for trapeziometacarpal osteoarthritis include:
Non-surgical[edit]
- Activity modification and rest.
- Use of splints to immobilize the thumb.
- Nonsteroidal anti-inflammatory drugs (NSAIDs) for pain relief.
- Corticosteroid injections to reduce inflammation.
Surgical[edit]
- Trapeziectomy: Removal of the trapezium bone.
- Arthrodesis: Fusion of the joint to eliminate movement and pain.
- Joint replacement: Replacement of the joint with a prosthesis.
- Osteotomy: Realignment of the bones to improve joint function.]]
]]
]]
]]
Prognosis[edit]
The prognosis for individuals with trapeziometacarpal osteoarthritis varies. Non-surgical treatments can provide relief for many patients, but surgery may be necessary for those with severe symptoms. Surgical outcomes are generally favorable, with most patients experiencing significant pain relief and improved function.
See also[edit]
References[edit]
- "Trapeziometacarpal Osteoarthritis." American Society for Surgery of the Hand. Accessed October 2023.
- "Osteoarthritis of the Thumb." Arthritis Foundation. Accessed October 2023.]]
