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The Journal of Hand Surgery
Volume 30, Issue 6,
, Pages 1161-1163
Author links open overlay panelRonitWollsteinMDabNancyWandzyRTcDaniel J.MastellaMDcLoisCarlsonBSdH. KirkWatsonMDc
Traditionally the scaphotrapezium-trapezoid joint is imaged through a posteroanterior view of the wrist. We describe an x-ray view that is aimed directly at the joint, which gives better visualization than the standard views.
A standard x-ray machine is used with a 20.3 × 25.4-cm or 25.4 × 30.5-cm cassette. The patient is positioned standing with the arm abducted at the shoulder, the elbow fully extended, and the forearm in neutral rotation (Fig. 1). The patient lightly touches the cassette with his/her fingertips as if walking and running the fingers along the cassette surface. The wrist is positioned in full ulnar deviation and maximally extended (60°–75° in a normal wrist), lowering the hypothenar eminence to the
The standard posteroanterior view of the wrist has been used to visualize the STT joint.5 This view, however, only images the radial side of the joint well because of overlap of the bones in this position. Because the joint is dome shaped a simple posteroanterior view will show overlap of the surfaces in any position. The trapeziotrapezoid joint is not seen clearly. Our view is aimed parallel to the distal surface of the scaphoid and therefore shows no overlap (Fig. 2A). We previously have
- W.B. Kleinman et al.Scapho-trapezio-trapezoid arthrodesis for treatment of chronic static and dynamic scapho-lunate instabilitya 10-year perspective on pitfalls and complications
J Hand Surg
- E.B. Frykman et al.Triscaphoid arthrodesis and its complications
J Hand Surg
- V.B. Srinivasan et al.Results of scaphotrapeziotrapezoid fusion for isolated idiopathic arthritis
J Hand Surg
- W.D. Rogers et al.Degenerative arthritis at the triscaphe joint
J Hand Surg
- S.Z. Glickel et al.Long-term follow-up of trapeziometacarpal arthroplasty with coexisting scaphotrapezial disease
J Hand Surg
- M.M. Tomaino et al.Scaphotrapezoid arthritisprevalence in thumbs undergoing trapezium excision arthroplasty and efficacy of proximal trapezoid excision
J Hand Surg
There are more references available in the full text version of this article.
- Evaluation and Management of Scaphoid-Trapezium-Trapezoid Joint Arthritis
2019, Orthopedic Clinics of North America
- Incidence of scaphotrapezial arthritis following volar percutaneous fixation of nondisplaced scaphoid waist fractures using a transtrapezial approach
2011, Journal of Hand Surgery
Citation Excerpt :
We used standard posteroanterior and lateral radiographic views to evaluate fracture union, degenerative changes at the ST joint, and central screw placement. We took an additional 45° pronated oblique view to specifically assess the ST joint (Fig. 2).33 Degenerative changes at the ST joint were staged according to the modified Eaton and Glickel classification (Table 1).34(Video) Scaphotrapezial Trapezoid (STT) Osteoarthritis
To investigate whether volar percutaneous screw fixation of scaphoid waist fractures via a transtrapezial approach causes degenerative changes at the scaphotrapezial (ST) joint at short- to medium-term follow-up.
A total of 34 patients were available for follow-up at a mean of 6.1 years (minimum follow-up, 3.7 y) after volar percutaneous fixation of acute scaphoid waist fractures via a transtrapezial approach. The clinical follow-up examination included assessment of pain using a visual analog scale, range of motion, grip strength, and key pinch strength. We obtained radiographs of both hands in 3 views. We staged degenerative changes at the ST joint according to the modified Eaton and Glickel classification.
The modified Mayo wrist score showed excellent clinical results using the described technique. One patient showed asymptomatic unilateral stage 2 osteoarthritic changes at the ST joint. We noted 6 screw protrusions, which required screw removal in 2 patients, in the early stages of use of the transtrapezial technique. One patient was treated surgically for a bone cyst.
Volar percutaneous screw fixation of nondisplaced scaphoid waist fractures using a transtrapezial approach does not lead to symptomatic scaphotrapezial osteoarthritis at short- to medium-term follow-up.
- Combined dislocation of the trapezoid and finger carpometacarpal jointsthe steering wheel injury: Case report
2010, Journal of Hand Surgery
Two cases of combined dorsal trapezoid dislocation and multiple finger carpometacarpal joint dislocations are described. In both cases, a common mechanism involved a head-on motor vehicle collision while the subjects held tightly to the steering wheel. The patients were treated with open reduction and pinning, with good short-term results.
- Treatment of Scaphotrapezio-Trapezoid Arthritis
2008, Hand Clinics
Citation Excerpt :
Additionally, a stress view of the TM joint can be used to show the degree of laxity of the basilar thumb joint . Recently, Wollstein and colleagues  described a specific STT view for optimal visualization of these joints. This view is performed with the patient standing, with the wrist in maximal extension and ulnar deviation with the hand an inch above the x-ray cassette, and with the beam directed perpendicular to approximately 2.5 cm medial to the base of the thumb TM joint.
Arthritis of the scaphotrapeziotrapezoid (STT) joint presents with deep thenar eminence and thumb basilar pain and is often coexistent with carpometacarpal arthritis of the thumb. Conservative treatment includes splinting and corticosteroid injections. Operative treatment consists primarily of fusion of the STT joint, although alternatives include trapeziectomy, fibrous arthroplasty, and prosthetic replacements. When STT arthritis is coexistent with carpometacarpal arthritis, excision of the trapezium and proximal 2 mm of trapezoid has been recommended. Complications of surgery include pericarpal arthrosis, superficial radial nerve injury, and nonunion.
- Diagnostic Imaging Guideline for Musculoskeletal Complaints in Adults-An Evidence-Based Approach-Part 2: Upper Extremity Disorders
2008, Journal of Manipulative and Physiological Therapeutics
- A CT-based approach with 3D modeling to determine optimal radiographic views of the scaphotrapezial and scaphotrapezoid joints
2018, Clinical Imaging
Citation Excerpt :
The wrist is positioned in full ulnar deviation and maximal extension, lowering the hypothenar eminence to the cassette but staying about an inch above it, with the fingers barely touching the surface. The central beam of the X-ray is directed perpendicular to 2.45 cm medial to the base of the thumb CMC joint aimed directly at the STT joint, directed parallel to the distal surface of the scaphoid . Another view of the STT joint, the Bette view, was described by Taleisnik et al. .(Video) STT Fusion
To use a CT-based approach with 3D modeling to determine novel radiographic views of the scaphotrapezial (STl) and scaphotrapezoid (STd) joints.
Consecutive wrist CT scans excluding those with pathology of the distal radius, scaphoid, trapezium, or trapezoid of subjects between ages 18 and 60 years were retrospectively reviewed. Three-dimensional reconstructions of CT scans were created and best-fit planes of the STl and STd joints were generated. Angles of these planes relative to a distal radial coordinate system were calculated to determine tilt of the wrist and the X-ray beam for novel radiographic views of these joints.
Fifty eligible wrist CT scans were identified. The mean age was 38 years (range, 18 to 59). For the novel STl PA view, the wrist is supinated 17° from the standard PA view and the X-ray beam is canted 6° caudad. In the STl lateral view, the wrist is pronated 17° from the standard lateral view, and the X-ray beam is canted 20° caudad. In the STd PA tilt view, the wrist is supinated 28° from the standard PA view, and the X-ray beam is canted 13° caudad. In the STd joint lateral tilt view, the wrist is pronated 28° from the standard lateral view, and the X-ray beam is canted 29° caudad.
We describe novel radiographic views of the STl and STd joints based on 3D modeling of wrist CT scans. Further studies are required to assess the efficacy of these views in detecting joint pathology.
Research articleNT-proBNP is a powerful predictor for incident atrial fibrillation — Validation of a multimarker approach
International Journal of Cardiology, Volume 223, 2016, pp. 74-81
Biomarkers may be of value to identify individuals at risk of developing atrial fibrillation (AF). Using a multimarker approach, this study investigated if the biomarkers; NT-proBNP, high-sensitivity cardiac troponin (hs-cTn), growth differentiation factor-15 (GDF-15), cystatin C and high-sensitivity C-reactive protein (CRP) are independent predictors for incident AF.
Blood samples were collected from 883 individuals in the Uppsala Longitudinal Study of Adult Men (ULSAM) and 978 individuals in the Prospective Investigation of the Vasculature in Uppsala Seniors (PIVUS) study. Participants were followed for 10–13years with n=113 incident AF cases in ULSAM and n=148 in PIVUS. The associations between biomarkers and incident AF were analysed in Cox proportional hazards regression models.
The hazard ratio (HR) for incident AF was significant for all five biomarkers in unadjusted analyses in both cohorts. Only NT-proBNP remained significant when adjusting for cardiovascular risk factors and the other biomarkers (HR (1SD) 2.05 (1.62–2.59) (ULSAM) and 1.56 (1.30–1.86) (PIVUS), both p<0.001). The C-index improved from 0.64 to 0.69 in ULSAM and from 0.62 to 0.68 in PIVUS, by adding NT-proBNP to cardiovascular risk factors (both p<0.001). The C-index of the CHARGE-AF risk score increased from 0.62 to 0.68 (ULSAM) and 0.60 to 0.66 (PIVUS) by addition of NT-proBNP (p<0.001).
Using a multimarker approach NT-proBNP was the strongest predictor of incident AF in two cohorts, and improved risk prediction when added to traditional risk factors. NT-proBNP significantly improved the predictive ability of the novel CHARGE-AF risk score, although the predictive value remained modest.
Research articlePitfalls of adrenal imaging with chemical shift MRI
Clinical Radiology, Volume 69, Issue 11, 2014, pp. 1186-1197
Chemical shift (CS) MRI of the adrenal glands exploits the different precessional frequencies of fat and water protons to differentiate the intracytoplasmic lipid-containing adrenal adenoma from other adrenal lesions. The purpose of this review is to illustrate both technical and interpretive pitfalls of adrenal imaging with CS MRI and emphasize the importance of adherence to strict technical specifications and errors that may occur when other imaging features and clinical factors are not incorporated into the diagnosis. When performed properly, the specificity of CS MRI for the diagnosis of adrenal adenoma is over 90%. Sampling the in-phase and opposed-phase echoes in the correct order and during the same breath-hold are essential requirements, and using the first echo pair is preferred, if possible. CS MRI characterizes more adrenal adenomas then unenhanced CT but may be non-diagnostic in a proportion of lipid-poor adenomas; CT washout studies may be able to diagnose these lipid-poor adenomas. Other primary and secondary adrenal tumours and supra-renal disease entities may contain lipid or gross fat and mimic adenoma or myelolipoma. Heterogeneity within an adrenal lesion that contains intracytoplasmic lipid could be due to myelolipoma, lipomatous metaplasia of adenoma, or collision tumour. Correlation with previous imaging, other imaging features, clinical history, and laboratory investigations can minimize interpretive errors.
Research articleAge prediction formulae from radiographic assessment of skeletal maturation at the knee in an Irish population(Video) ELECTIVE: How to perform a Trapeziectomy
Forensic Science International, Volume 234, 2014, pp. 188.e1-188.e8
Age estimation in living subjects is primarily achieved through assessment of a hand–wrist radiograph and comparison with a standard reference atlas. Recently, maturation of other regions of the skeleton has also been assessed in an attempt to refine the age estimates. The current study presents a method to predict bone age directly from the knee in a modern Irish sample. Ten maturity indicators (A–J) at the knee were examined from radiographs of 221 subjects (137 males; 84 females). Each indicator was assigned a maturity score. Scores for indicators A–G, H–J and A–J, respectively, were totalled to provide a cumulative maturity score for change in morphology of the epiphyses (AG), epiphyseal union (HJ) and the combination of both (AJ). Linear regression equations to predict age from the maturity scores (AG, HJ, AJ) were constructed for males and females. For males, equation-AJ demonstrated the greatest predictive capability (R2=0.775) while for females equation-HJ had the strongest capacity for prediction (R2=0.815). When equation-AJ for males and equation-HJ for females were applied to the current sample, the predicted age of 90% of subjects was within ±1.5 years of actual age for male subjects and within +2.0 to −1.9 years of actual age for female subjects. The regression formulae and associated charts represent the most contemporary method of age prediction currently available for an Irish population, and provide a further technique which can contribute to a multifactorial approach to age estimation in non-adults.
Research articleComparison of craniofacial morphology, head posture and hyoid bone position with different breathing patterns
The Saudi Dental Journal, Volume 24, Issues 3–4, 2012, pp. 135-141
The aim of this study was to evaluate differences in craniofacial morphology, head posture and hyoid bone position between mouth breathing (MB) and nasal breathing (NB) patients.
Mouth breathing patients comprised 34 skeletal Class I subjects with a mean age of 12.8±1.5years (range: 12.0–15.2years). Thirty-two subjects with skeletal Class I relationship were included in the NB group (mean 13.5±1.3years; range: 12.2–14.8years). Twenty-seven measurements (15 angular and 12 linear) were used for the craniofacial analysis. Additionally, 12 measurements were evaluated for head posture (eight measurements) and hyoid bone position (four measurements). Student’s t-test was used for the statistical analysis. Probability values <0.05 were accepted as significant.
Statistical comparisons showed that sagittal measurements including SNA (p<0.01), ANB (p<0.01), A to N perp (p<0.05), convexity (p<0.05), IMPA (p<0.05) and overbite (p<0.05) measurements were found to be lower in MB patients compared to NB. Vertical measurements including SN-MP (p<0.01) and PP-GoGn (p<0.01), S-N (p<0.05) and anterior facial height (p<0.05) were significantly higher in MB patients, while the odontoid proses and palatal plane angle (OPT-PP) was greater and true vertical line and palatal plane angle (Vert-PP) was smaller in MB patients compared to NB group (p<0.05 for both). No statistically significant differences were found regarding the hyoid bone position between both groups.
The maxilla was more retrognathic in MB patients. Additionally, the palatal plane had a posterior rotation in MB patients. However, no significant differences were found in the hyoid bone position between MB and NB patients.
Research articleMR Imaging of Autoimmune Pancreatitis
Magnetic Resonance Imaging Clinics of North America, Volume 26, Issue 3, 2018, pp. 463-478
Research articleComparison of ultrasonography and radiography of the wrist for diagnosis of calcium pyrophosphate deposition
Joint Bone Spine, Volume 85, Issue 5, 2018, pp. 615-618
Ultrasound (US) seems a useful tool for diagnosis of calcium pyrophosphate (CPP) deposition (CPPD). We aimed to compare the performance of US and conventional radiography of the wrist for diagnosis of CPPD.
Patients with CPP crystals identified in synovial fluid (SF) (knee, hip, shoulder, ankle or wrist) were consecutively included and compared to patients without CPP crystals in synovial fluid considered as controls. As recommended, we used the term chondrocalcinosis (CC) to assess imaging features suggesting CPPD. In all patients, US and radiographic assessment of CC of the wrists was performed by two distinct operators blinded each other (one operator by imaging modality). The two operators were blinded to clinical data, SF analysis and US or radiography findings.
We included 32 CPPD patients and 26 controls. Among CPPD patients, US revealed CC in 30 (93.7%) and radiography in 17 (53.1%) (P<0.001). The sensitivity and specificity of US for the diagnosis of CPPD were 94% and 85%, respectively; the positive likelihood ratio (LR+) was 6.1. The sensitivity and specificity of radiography were 53.1% and 100%, respectively. At joints level independently of SF analysis, US revealed CC in 35 joints without radiographic CC whereas X-rays showed CC in 3 joints without US CC. The κ coefficient between US and radiography for CC was moderate: 0.33 (0.171–0.408).
Our study suggests that wrist US should be considered as a relevant tool for the diagnosis of CPPD, with higher sensitivity than radiography for detecting CPP deposits.
No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article.
Copyright © 2005 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.
The triscaphoid joint is located within the wrist joint, and involves the scaphoid, trapezium and trapezoid bones. The joint is important because it provides a strong and stable link between the two rows of bones in the wrist, and transmits force from the thumb across the wrist joint.What is STT arthritis? ›
Arthritis of the scaphotrapeziotrapezoid (STT) joint presents with deep thenar eminence and thumb basilar pain and is often coexistent with carpometacarpal arthritis of the thumb. Conservative treatment includes splinting and corticosteroid injections.What type of joint is the trapezium and scaphoid? ›
The triscaphe joint is the shared joint between the scaphoid, trapezium and trapezoid bones in the wrist. This joint is also referred to by its much longer name, the scaphotrapeziotrapezoid (STT) joint.What is Triscaphe osteoarthritis? ›
Triscaphe arthritis is located near the base of the thumb and can occur as a result of local trauma. The natural history of SLAC includes a pattern of progressive radial carpal and intercarpal arthritis.How painful is a Trapeziectomy? ›
Will I be in pain? It is not uncommon for you to have some pain after a trapeziectomy. This pain may last up to six months after surgery. A splint should help reduce your pain, but if it carries on please discuss this with your consultant surgeon or GP who may advise you on medicines to help.How long does thumb arthritis surgery take? ›
Those procedures can now be performed under local anesthesia — your hand is numbed so you feel no pain, but you aren't fully sedated. “Patients can be in and out typically within 45 minutes,” said Daniel London, MD, a hand and wrist surgeon.What causes STT osteoarthritis? ›
Heredity. Osteoarthritis of the fingers and hands often runs in families, particularly in women. Joint injury. Hard repetitive physical activity may injure joints leading to osteoarthritis in later life.What can be done for arthritis in wrist? ›
- Alternating hot and cold compresses.
- Braces or splints.
- Disease-modifying antirheumatic drugs (DMARDs) to treat rheumatoid arthritis.
- Hand exercises (approved by a physical therapist or other healthcare provider).
- Nonsteroidal anti-inflammatory drugs (NSAIDs), including pain-relieving skin creams.
The CMC joint is located where the thumb (metacarpal) bone meets the wrist (carpal) bone. As this joint becomes worn, often due to age, it can lead to a painful condition called thumb arthritis (also known as CMC arthritis or basal joint arthritis).How successful is thumb arthritis surgery? ›
Pros: Removing the entire trapezium eliminates the possibility of arthritis returning and, according to Dr. Ruch, LRTI has a 96 percent success rate. “Most patients achieve complete pain relief and mobility equal to that of a healthy thumb, with results lasting at least 15 to 20 years,” he says.
This ligament connects the scaphoid with its neighbor, the lunate bone (also known as the semilunar bone). An undetected and untreated torn scapholunate ligament can also lead to osteoarthritis of the wrist. This can advance to become what is called scapholunate advanced collapse (SLAC).Why would you need a Trapeziectomy? ›
The primary reason to undergo trapeziectomy is to resolve pain at the base of the thumb that becomes worse with movement or activity (e.g., turning a key, opening a door or jar lid, lifting a cup, peeling vegetables, combing hair, etc.).What is the best treatment for osteoarthritis of the hands? ›
Treatments for hand osteoarthritis.
Braces or orthotics to provide ongoing structured support, especially for the thumb. Colchicine, an anti-inflammatory drug that may decrease inflammation and pain in osteoarthritic joints. Corticosteroid injections or oral tablets to ease pain and swelling.
- Maintain a Healthy Weight. Excess weight puts additional pressure on weight-bearing joints, such as the hips and knees. ...
- Control Blood Sugar. ...
- Get Physical. ...
- Protect Joints. ...
- Choose a Healthy Lifestyle.
Osteophytes are bony lumps (bone spurs) that grow on the bones of the spine or around the joints. They often form next to joints affected by osteoarthritis, a condition that causes joints to become painful and stiff.What can go wrong with a Trapeziectomy? ›
Possible complications of a trapeziectomy
Possible problems include swelling, bruising, bleeding, blood collecting under the wound (haematoma), infection and splitting open of the wound (dehiscence).
It is a saddle- shaped joint which gives the thumb a large range of motion. However, it is one of the factors that makes the joint prone to degradation. This degradation causes pain, which is initially related to activity, including pinching and gripping.How long does a Trapeziectomy last? ›
Trapeziectomy usually takes 60-90 minutes to complete. You will have a bandage or plaster cast on your hand. To help reduce any swelling it is important to keep your hand raised above your heart using a sling or pillow.Do you need a cast after thumb surgery? ›
After surgery, your thumb will be placed in a cast for three to four weeks, followed by a plastic splint for four to six weeks. Typically, it takes between six and eight weeks to regain full movement in your thumb.What can you not do after thumb surgery? ›
For 1 to 2 weeks after surgery, avoid using your hand. This includes lifting things heavier than 0.5 to 1 kilogram (1 to 2 pounds) or doing repeated finger or hand movements, such as typing, using a computer mouse, washing windows, vacuuming, or chopping food.
It is an excellent, pain-relieving surgery that doesn't require fusion of the thumb joint, and therefore preserves the thumb motion.”What should you not do with osteoarthritis? ›
- Red meat and fried foods. Fried foods and red meat contain high levels of advanced glycation end products (AGEs), which are known for stimulating inflammation. ...
- Sugars. ...
- Dairy. ...
- Refined carbohydrates. ...
- Alcohol and tobacco.
Rheumatoid arthritis can be one of the most painful types of arthritis; it affects joints as well as other surrounding tissues, including organs. This inflammatory, autoimmune disease attacks healthy cells by mistake, causing painful swelling in the joints, like hands, wrists and knees.What is the best treatment for osteoarthritis in knees? ›
- Apply ice or heat to help ease stiffness, pain and swelling.
- Lose weight (if necessary) to help reduce stress on the knees.
- Keep moving with activities like swimming, biking or walking.
- Try physical therapy. ...
- Consider acupuncture or massage for pain relief.
Many people may wonder is arthritis a disability. Yes. Arthritis can prompt incapacity, as can numerous other mental and physical conditions. If your arthritis confines your daily movements, or activities you may qualify for disability benefits.What does wrist arthritis look like on xray? ›
An arthritic joint will demonstrate narrowing of the space between the bones as the cartilage thins, bone spurs or calcium deposits on the edges of the joint, small cysts within the bone, and sometimes deformity of the joint, causing it to look crooked.Can surgery help wrist arthritis? ›
If conservative treatments do not improve your hand or wrist arthritis condition, surgery may be a good option. There are several hand and wrist arthritis surgeries that we offer, all of which can offer hand and wrist pain relief, correct deformities, and improve hand function.Can an arthritic thumb Be Fixed? ›
In the early stages of thumb arthritis, treatment usually involves a combination of non-surgical therapies. If your thumb arthritis is severe, surgery might be necessary.Does a thumb brace help arthritis? ›
A thumb brace can help alleviate pain, increase stability, and take the stress off the joint. People with arthritis may wear a thumb brace if this area of the hand has become affected.What causes thumb arthritis to flare up? ›
The most common triggers of an OA flare are overdoing an activity or trauma to the joint. Other triggers can include bone spurs, stress, repetitive motions, cold weather, a change in barometric pressure, an infection or weight gain.
Postoperative Expectations. At the time of surgery, the patient will be placed in a short-arm splint. The splint will be removed at the first postoperative visit and replaced by a short arm thumb spica cast. Three to 4 weeks after the procedure, the cast is removed and active range-of-motion therapy begins.What is the most common complication with thumb arthroplasty? ›
The most common complications after a thumb arthroplasty include infection, temporary numbness along the top of the thumb, and stiffness.Does a cortisone injection in the thumb hurt? ›
The most common side effect is intense pain and swelling in the joint where the injection was given. This usually gets better after a day or two. You may also get some bruising where the injection was given.What are the 4 stages of osteoarthritis in the hands? ›
Stage 1 (early or doubtful) Stage 2 (mild or minimal) Stage 3 (moderate) Stage 4 (severe)Can you move your thumb with a scaphoid fracture? ›
Scaphoid fractures usually cause pain and swelling in the anatomic snuffbox and on the thumb side of the wrist. The pain may be severe when you move your thumb or wrist, or when you try to pinch or grasp something.What causes pain in the scaphoid bone? ›
Scaphoid fractures are almost always caused by catching yourself with outstretched arms after a fall. Car accidents and other traumas can also cause them. You might need surgery to repair your bone. Most people need around three months to recover from a scaphoid fracture.Can a Trapeziectomy fail? ›
Trapeziectomy is recognized as leading to a mostly acceptable functional outcome. Although rarely encountered, persisting failure of the trapeziectomy is difficult to address. We present a case where several procedures were subsequently performed to treat a failed trapeziectomy condition.What is stage 4 arthritis of the thumb? ›
Stage IV: All the components of stage III along with destruction of the scaphotrapezial joint. At this stage the CMC joint is usually fixed and some patients may have little to no pain. Treatment: In early stages, stage I and sometimes stage II, con- servative treatment should be considered.Can you drive after thumb surgery? ›
Once you are no longer taking the medicine, you may drive as soon as you can comfortably grip the steering wheel with both hands. It is generally best to avoid long drives until the initial dressing and plaster splint is removed. Right after surgery, you may begin gentle finger exercises.› handcare › condition › thumb-arth... ›
Thumb Arthritis: Symptoms and Treatment | The Hand Society
Thumb Arthritis > Fact Sheets
Arthritis of the Thumb - OrthoInfo - AAOS
Abstract. Scaphoid-trapezium-trapezoid (STT) joint arthritis is a common condition consisting of pain on the radial side of the wrist and base of the thumb, swelling, and tenderness over the STT joint. Common symptoms are loss of grip strength and thumb function.Where in the wrist is the trapezium located? ›
The trapezium (also known as the greater multangular) is one of the eight carpal bones of the hand. It is the most lateral (radial) bone of the distal row, located between the scaphoid and the first metacarpal bone.Where is the trapezium bone in the hand? ›
The trapezium bone is one of the eight carpal bones of the hand. It is a cube shaped bone located on the radial side of the hand, in the distal carpal row, at the base of the thumb. It articulates with the first metacarpal, second metacarpal, scaphoid and trapezoid bones.How long does it take for a trapezium fracture to heal? ›
Non-displaced trapezium and trapezoid fractures can be treated with a short arm thumb spica cast for 4 to 6 weeks. Treatment for a non-displaced isolated capitate fracture involves immobilization with a short arm thumb spica cast for 6 to 8 weeks.Can you get arthritis in your scaphoid bone? ›
This ligament connects the scaphoid with its neighbor, the lunate bone (also known as the semilunar bone). An undetected and untreated torn scapholunate ligament can also lead to osteoarthritis of the wrist. This can advance to become what is called scapholunate advanced collapse (SLAC).What type of bone is the trapezoid? ›
The trapezoid bone (also known as the os trapezoideum or the lesser multangular) is the smallest carpal bone in the distal row, sitting lateral to the capitate. The trapezium and trapezoid are collectively known as the multangulars.What is the difference between a trapezoid and a trapezium? ›
A trapezoid and a trapezium are actually the same shape. In North America, the shape is called a trapezoid, but it is known as a trapezium in other English-speaking countries around the world. The definition of both is the same.What causes pain in the trapezium bone? ›
Osteoarthritis (OA) in the base of the thumb is the most common cause of pain in this area. It is the degeneration of the protective surface of the bones in the joint over time, usually through overuse or damage. Initially pain occurs during movement or activity i.e. turning a key, opening jars or gripping objects.What is the wrist bone that sticks out called? ›
The pisiform bone (/ˈpaɪsɪfɔːrm/ or /ˈpɪzɪfɔːrm/), also spelled pisiforme (from the Latin pisifomis, pea-shaped), is a small knobbly, sesamoid bone that is found in the wrist. It forms the ulnar border of the carpal tunnel.What does a fractured trapezium feel like? ›
Patients with trapezoid fractures may complain of point tenderness at the base of the second metacarpal, pain with range of motion at the second metacarpophalangeal joint, or pain and tenderness at the anatomic snuffbox. Patients may or may not have dorsal wrist swelling and decreased range of motion at the wrist.
Possible complications of a trapeziectomy
Possible problems include swelling, bruising, bleeding, blood collecting under the wound (haematoma), infection and splitting open of the wound (dehiscence).
The primary reason to undergo trapeziectomy is to resolve pain at the base of the thumb that becomes worse with movement or activity (e.g., turning a key, opening a door or jar lid, lifting a cup, peeling vegetables, combing hair, etc.).How successful is thumb arthritis surgery? ›
Pros: Removing the entire trapezium eliminates the possibility of arthritis returning and, according to Dr. Ruch, LRTI has a 96 percent success rate. “Most patients achieve complete pain relief and mobility equal to that of a healthy thumb, with results lasting at least 15 to 20 years,” he says.What happens if a fracture is left untreated? ›
When a bone fracture is untreated, it can result in either a nonunion or a delayed union. In the former case, the bone doesn't heal at all, which means that it will remain broken. As a result, swelling, tenderness, and pain will continue to worsen over time.Can you break the trapezium bone? ›
Isolated fracture of the trapezium is an uncommon injury accounting for only 3-5% of all carpal fractures . However, they are very important fractures to detect and treat early given the importance of the trapezium in the carpometacarpal joint in actions such as grip and pinch.What is the most common bone to break in your wrist? ›
The distal radius fracture is one of the most common fractures of the wrist. It usually occurs when people fall on an outstretched hand.