Materiały źródłowe

• #1 Recognizing Thumb Arthritis – Jeffrey M. Jacobson, M.D.

  https://jacobsonmd.com/recognizing-thumb-arthritis/

  The hands are one of the most common sites on the body for arthritis. And, when it comes to arthritis of the hands, thumb arthritis may be the most debilitating. […] The most common type that affects the thumb and the most common type in general is osteoarthritis, also known as wear-and-tear arthritis. […] Arthritis of the thumb basal joint is very common. The base of the thumb is the second most common site for arthritis of the hand; only the knuckles out near the tips of the fingers are affected more often. […] Women are about three times as likely to get thumb arthritis as men, but not all of these cases will have symptoms. […] How do you know if you have thumb arthritis? What does it feel like? Pain at the base of the thumb on the palm side may be the most obvious sign, but it is far from the only one.

• #2 Thumb Arthritis: Symptoms and Treatment | The Hand Society

  https://www.assh.org/handcare/condition/thumb-arthritis

  Thumb arthritis is the second most common type of arthritis in the hand; the most prevalent hand arthritis involves the last joint in each finger. […] Thumb arthritis is also known as basal joint arthritis. […] Typically, degenerative arthritis of the thumb occurs sometime after 40 years of age. […] If the pain starts to interfere with ones activities of daily living, then a visit with a hand surgeon could be helpful. […] X-rays can be used to confirm the diagnosis. […] X-rays show that basal joint arthritis will generally get worse with time. […] The rate of the progression of arthritis varies from one person to another. […] Even though thumb arthritis will advance with time, the symptoms do not always get worse, and in some people the symptoms will decrease significantly.

• #3 Arthritis of the Thumb | Dr. Gordon Groh

  https://www.drgordongroh.com/orthopaedic-injuries-treatment/hand-wrist/arthritis-of-the-thumb/

  Osteoarthritis of the base of the thumb occurs in an approximately 3; 1 ratio of women to men. […] The most constant symptom associated with any arthritis is pain. […] Patients with thumb arthritis complain of loss of grip and pinch strength. […] After your hand surgeon has reviewed your symptoms, the surgeon may inquire into your family history or related medical history. […] Routine x-rays are helpful in determining the health of joints. […] Laboratory studies are more helpful in the diagnosis of rheumatoid and inflammatory arthritis than in osteoarthritis. […] Advanced imaging techniques (CT and MRI) are not often necessary in routine evaluation of arthritis, but may play a role in planning treatment. […] Treatment of thumb arthritis mirrors arthritis treatment for larger joints.

• #4 Thumb (Basal Joint) Arthritis: Pain, Tests & Treatment

  https://my.clevelandclinic.org/health/diseases/thumb-arthritis

  Thumb arthritis is osteoarthritis in the basal joint at the base of your thumb. […] Thumb arthritis symptoms include pain, swelling and loss of strength and motion in your thumb. […] A healthcare provider will ask about your symptoms. They may ask if your thumb hurts all the time or if certain activities cause pain. […] Your provider may also request an X-ray to confirm the diagnosis. […] Thumb arthritis treatment varies based on the severity of your symptoms. […] Your healthcare provider may recommend physical therapy or occupational therapy. […] If you notice pain, swelling or stiffness in your thumb joint, talk to a healthcare provider.

• #5 Arthritis of the Thumb – OrthoInfo – AAOS

  https://orthoinfo.aaos.org/en/diseases–conditions/arthritis-of-the-thumb/

  Arthritis of the Thumb […] Arthritis is a condition that affects joints, ultimately resulting in wearing out of the protective cartilage joint surface. In the thumb, the most common site for arthritis to develop is in the basal joint at the base of the thumb also known as the thumb carpometacarpal (CMC) joint. […] Although there are several types of arthritis, the one that most often affects the basal joint is osteoarthritis (degenerative, or wear-and-tear, arthritis). […] Your doctor will: […] Ask you about your symptoms, any prior hand or thumb injury, pain patterns, and/or activities that aggravate the condition. […] Examine your hand and thumb. One of the tests used during the examination involves holding the joint firmly while moving the thumb. If this results in pain, a gritty feeling, or a grinding sound (crepitus), arthritis of the joint is suspected.

• #6 Thumb Arthritis > Fact Sheets > Yale Medicine

  https://www.yalemedicine.org/conditions/thumb-arthritis

  How is thumb arthritis diagnosed? […] To make a diagnosis of thumb arthritis, your doctor will start by gathering your medical history, discussing symptoms, prior injuries, and what activities cause you pain. […] For the physical examination, your doctor will hold the basal joint while rocking your thumb back and forth, Dr. Luo says. If that causes pain or a grinding sound, it means the bones are rubbing directly against each other and likely have thumb arthritis. An X-ray can confirm the diagnosis.

• #7 Osteoarthritis of the thumb | NHS inform

  https://www.nhsinform.scot/illnesses-and-conditions/muscle-bone-and-joints/arm-shoulder-and-hand-problems-and-conditions/osteoarthritis-of-the-thumb/

  This information is useful for those who have been diagnosed with OA thumb. People who are experiencing new or ongoing symptoms should contact a healthcare professional for assessment and diagnosis. […] In order for your thumb problem to be diagnosed you will need an assessment from a healthcare professional. […] Theyll initially ask you questions about your thumb issue and then carry out a physical examination. This may include checking your range of movement and strength. […] You may sometimes need to have a further examination to rule out other possible health conditions.

• #8 Thumb Arthritis | New Albany, OH | JIS Orthopedics

  https://jisortho.com/thumb-arthritis

  Thumb arthritis may also be referred to as thumb basal joint arthritis. It affects the joint at the base of the thumb. […] A physical examination is the first step in diagnosing thumb arthritis. During the exam, a healthcare provider will examine the joint and ask about your symptoms. […] An X-ray can help diagnose thumb arthritis as well. X-rays reveal bone spurs, worn cartilage, and a loss of joint space, all indicators of arthritis. […] If you think you may be experiencing thumb arthritis, reach out to an expert who can give you a diagnosis and help you find relief. […] If you have thumb pain, we can help you at JIS Orthopedics. Schedule an appointment to get a diagnosis and treatment recommendations.

• #9 Thumb Arthritis Test – A Guide on Learning About Thumb Arthritis

  https://nowserving.ph/blog/thumb-arthritis-test/

  A thumb arthritis test is performed by doctors to evaluate the joint condition at the base of the thumb also known as the carpometacarpal joint (CMC joint). The result would be considered positive if the patient experienced pain during the examination that would confirm thumb arthritis. […] Signs and symptoms include pain, grasp and pinch weakness, inflammation, thumb base discomfort, and limited joint mobility. Doctors would perform the following to properly diagnose thumb arthritis: a physical examination to check for swelling, stiffness, deformity, and instability; joint palpation while checking for pain; a detailed medical history interview; radiographic imaging to confirm the severity of thumb arthritis based on the Eaton-Litter classification (including joint space narrowing, presence of osteophytes, and bone changes).

• #10 Thumb arthritis: Tests, steps, and results

  https://www.medicalnewstoday.com/articles/thumb-arthritis-tests-steps-and-results

  Doctors perform thumb arthritis tests, such as the grind test, to assess the joint at the base of this digit. A positive test reproduces pain on the joint, confirming that a person has thumb arthritis. […] Doctors use several tests to diagnose thumb arthritis. These tests aim to reproduce the pain of arthritis. […] The grind test is the diagnostic tool that doctors most commonly use to evaluate and confirm OA. […] The test is positive if it causes pain in the joint. […] The traction-shift test is a newer diagnostic technique that doctors can use. […] This test is similar to the grind test, as it uses the occurrence of pain to determine whether a person has thumb arthritis. […] A doctor grasps the joints two ends, pulls them apart, and then relocates them. Pain can indicate subluxation, or partial dislocation, and the presence of thumb arthritis.

• #11 Thumb arthritis: Tests, steps, and results

  https://www.medicalnewstoday.com/articles/thumb-arthritis-tests-steps-and-results

  Doctors perform thumb arthritis tests, such as the grind test, to assess the joint at the base of this digit. A positive test reproduces pain on the joint, confirming that a person has thumb arthritis. […] Doctors use several tests to diagnose thumb arthritis. These tests aim to reproduce the pain of arthritis. […] The grind test is the diagnostic tool that doctors most commonly use to evaluate and confirm OA. […] The test is positive if it causes pain in the joint. […] The traction-shift test is a newer diagnostic technique that doctors can use. […] This test is similar to the grind test, as it uses the occurrence of pain to determine whether a person has thumb arthritis. […] A doctor grasps the joints two ends, pulls them apart, and then relocates them. Pain can indicate subluxation, or partial dislocation, and the presence of thumb arthritis.

• #12 Arthritis of the Thumb – OrthoInfo – AAOS

  https://orthoinfo.aaos.org/en/diseases–conditions/arthritis-of-the-thumb/

  Arthritis of the Thumb […] Arthritis is a condition that affects joints, ultimately resulting in wearing out of the protective cartilage joint surface. In the thumb, the most common site for arthritis to develop is in the basal joint at the base of the thumb also known as the thumb carpometacarpal (CMC) joint. […] Although there are several types of arthritis, the one that most often affects the basal joint is osteoarthritis (degenerative, or wear-and-tear, arthritis). […] Your doctor will: […] Ask you about your symptoms, any prior hand or thumb injury, pain patterns, and/or activities that aggravate the condition. […] Examine your hand and thumb. One of the tests used during the examination involves holding the joint firmly while moving the thumb. If this results in pain, a gritty feeling, or a grinding sound (crepitus), arthritis of the joint is suspected.

• #13 Thumb Arthritis Treatment I Hand Surgery in Orange County

  https://www.hoagorthopedicinstitute.com/what-hurts-/hand-wrist/conditions/thumb-arthritis/

  During a physical examination of an arthritic thumb, the hand doctor may notice grinding when maneuvering the thumb in a certain way. X-rays can be used to confirm the diagnosis.

• #14 Thumb arthritis: Tests, steps, and results

  https://www.medicalnewstoday.com/articles/thumb-arthritis-tests-steps-and-results

  In the lever test, the doctor places their thumb and index finger at the base of the first metacarpal, just after the CMC joint, and rocks the thumb back and forth to apply pressure over the anterior oblique ligament. […] The test is positive if it reproduces the pain at the base of the thumb. […] A 2016 study comparing three physical examinations for thumb arthritis found that the lever test was the most sensitive and, therefore, the least likely to produce a false-negative result. […] Doctors can perform several physical tests to see whether a person has thumb arthritis. […] Symptoms that may indicate thumb arthritis include pain when performing activities that require gripping, grasping, and pinching. […] Doctors will start the diagnosis of thumb arthritis by examining the thumb to check for symptoms such as swelling, tenderness, pain, and the presence of lumps.

• #15 Evaluation of Physical Examination Tests for Thumb Basal Joint Osteoarthritis

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4920516/

  We compare the ability of 3 diagnostic tests to reproduce the pain of basilar joint arthritis (BJA): the grind test, the lever test (grasping the first metacarpal just distal to the basal joint and shucking back and forth in radial and ulnar directions), and the metacarpophalangeal extension test. […] The lever test was the diagnostic test that best reproduced the pain caused by thumb basal joint osteoarthritis. We recommend using the lever physical examination test when evaluating the patient with suspected basal joint osteoarthritis. The often-quoted grind test is of limited diagnostic value. […] The grind test is perhaps the most commonly referenced diagnostic tool to evaluate and confirm osteoarthritis. […] The value of the lever test is that the maneuver is similar to palpation but with the added manipulation of the CMC joint.

• #16 Evaluation of Physical Examination Tests for Thumb Basal Joint Osteoarthritis

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4920516/

  Our study indicates that, of the 3 provocative tests, the lever test was the most sensitive for BJA. […] The lever test and joint palpation best reproduce the pain caused by thumb basal joint osteoarthritis. A physical examination test sensitive for BJA optimizes efficiency while seeing patients. […] We believe that a combination of all 3 is necessary for diagnosis: history of pain at the basal joint, pain with a physical examination maneuver sensitive for BJA, and positive radiographic reading. We recommend using the lever physical examination test and joint palpation when evaluating a patient with suspected basal joint arthritis. The often-quoted grind test is of limited value.

• #17 Thumb arthritis: Tests, steps, and results

  https://www.medicalnewstoday.com/articles/thumb-arthritis-tests-steps-and-results

  Doctors perform thumb arthritis tests, such as the grind test, to assess the joint at the base of this digit. A positive test reproduces pain on the joint, confirming that a person has thumb arthritis. […] Doctors use several tests to diagnose thumb arthritis. These tests aim to reproduce the pain of arthritis. […] The grind test is the diagnostic tool that doctors most commonly use to evaluate and confirm OA. […] The test is positive if it causes pain in the joint. […] The traction-shift test is a newer diagnostic technique that doctors can use. […] This test is similar to the grind test, as it uses the occurrence of pain to determine whether a person has thumb arthritis. […] A doctor grasps the joints two ends, pulls them apart, and then relocates them. Pain can indicate subluxation, or partial dislocation, and the presence of thumb arthritis.

• #18 Which Test Is Best For Thumb Arthritis | Rheumatology Care of North HoustonAccessibility ToolsIncrease TextDecrease TextGrayscaleHigh ContrastNegative ContrastLight BackgroundLinks UnderlineReadable FontReset

  https://www.rheumatologycarehouston.com/can-we-test-for-thumb-arthritis/

  This test is a relatively better and state-of-the-art diagnostic tool. The traction shift test is somewhat similar to the grind test. This is because the result determination is dependent on the occurrence of pain, its presence confirms a positive result of the thumb arthritis test. […] The pinch test is pretty simple compared to the ones above, and you can easily do this independently without medical intervention. However, you must not only rely on this and get a proper examination via actual professionals for the final verdict. […] For the lever test, the doctor will place the index finger and thumb at first metacarpal base, right after the CMC joint, and move the thumb back and forth to pressurize the anterior oblique ligament. […] The test turns positive if there is pain impulse at the thumb base. According to a 2016 study, after comparing 3 tests for thumb arthritis, it was found that the lever test was most accurate; therefore, least likely to give out a false-negative result.

• #19 Thumb arthritis – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/thumb-arthritis/symptoms-causes/syc-20378339

  Thumb arthritis occurs when the cartilage in the carpometacarpal (CMC) joint wears away. […] Thumb arthritis is common with aging and occurs when cartilage wears away from the ends of the bones that form the joint at the base of your thumb also known as the carpometacarpal (CMC) joint. […] Treatment generally involves a combination of medication and splints. Severe thumb arthritis might require surgery. […] See your doctor if you have persistent swelling, stiffness or pain at the base of your thumb. […] Thumb arthritis commonly occurs with aging. Previous trauma or injury to the thumb joint also can cause thumb arthritis. […] Although osteoarthritis is the most common cause of thumb arthritis, rheumatoid arthritis can also affect the CMC joint, usually to a lesser extent than other joints of the hand.

• #20 Thumb arthritis: Tests, steps, and results

  https://www.medicalnewstoday.com/articles/thumb-arthritis-tests-steps-and-results

  In some cases, the doctor may order an X-ray of the thumb. An X-ray can reveal signs of thumb arthritis, including joint space narrowing, presence of osteophytes and loose bodies, and bone and cartilage changes. […] Anyone who feels discomfort and pain at the base of the thumb should contact a doctor for a diagnosis so that they can start any necessary treatment as early as possible.

• #21 Arthritis of the Thumb – OrthoInfo – AAOS

  https://orthoinfo.aaos.org/en/diseases–conditions/arthritis-of-the-thumb/

  An X-ray may show deterioration of the joint, including narrowing of the joint space and formation of bone spurs. […] Many people with arthritis at the base of the thumb also have symptoms of carpal tunnel syndrome, so your doctor may check for that, as well. […] In its early stages, arthritis at the base of the thumb will respond to nonsurgical treatment. […] Because arthritis is a progressive, degenerative disease, the condition may worsen over time. The next phase in treatment involves injecting a steroid solution directly into the joint. This will usually provide relief for several months. However, these injections cannot be repeated indefinitely and may become less effective over time. […] When nonsurgical treatment is no longer effective, surgery is an option. The operation can be performed on an outpatient basis, and several different procedures can be used. […] Basal joint arthritis, or thumb CMC arthritis, is a very treatable condition, and many patients are satisfied with their outcome after treatment. Patients who don’t achieve relief with nonsurgical treatment very often have a good result after surgery.

• #22 Arthritis of the Hand, Thumb & Wrist | Grand Rapids Orthopedic Doctors

  https://www.oamichigan.com/hand-upper-extremity/hand-upper-extremity-conditions/arthritis-hand-thumb-wrist/

  Arthritis at the base of thumb is a very common disorder encountered by the primary care physician and the hand specialist. […] The differential diagnosis of CMC arthritis includes other common disorders at the radial aspect of the hand and wrist. […] The diagnosis is made by history, physical exam, and radiographic findings. […] If after the history and physical exam, there still is some question regarding the diagnosis, radiographs should help confirm the problem. […] Typical findings are loss of joint space, spurring and osteophyte formation from the trapezium and metacarpal base. […] One thing to keep in mind is that radiographic findings do not always correlate well with physical findings or symptoms. […] Treatment begins with conservative measures. […] When conservative methods are no longer effective and the pain is disabling, surgical arthroplasty remains a time-honored successful procedure for this problem.

• #23

  https://www.orthobullets.com/hand/6054/basilar-thumb-arthritis

  Basilar Thumb Arthritis, also referred to as trapeziometacarpal (TMC) arthritis, is a common degenerative condition caused by attenuation of the volar beak and dorsoradial ligaments, leading to joint subluxation and cartilage degeneration of the trapeziometacarpal joint. This condition typically presents in elderly women with common symptoms of pain, crepitus, and loss of pinch/grip strength. […] Diagnosis is made clinically with tenderness to palpation over the thumb CMC joint, a painful CMC grind test, and radiographs of the hand showing osteoarthritis of the 1st CMC joint. […] Imaging: Radiographs recommended views AP, lateral, Roberts view. Findings include joint space narrowing and osteophytes.

• #24 Base of thumb arthritis: Symptoms, diagnosis and treatment

  https://www.topdoctors.co.uk/medical-articles/base-of-thumb-arthritis-expert-insight-on-symptoms-diagnosis-and-treatment

  Base of thumb arthritis can result in symptoms of thumb swelling, pain on movement and difficulties with tasks that load the thumb, such as opening jars, wringing out clothes, turning a key in a door or writing. […] It is diagnosed with symptoms of pain in the thumb or wrist or difficulty using the thumb for grasping and loading tasks. In examination of the thumb, there are signs of pain over the carpometacarpal joint (CMCJ) and reduced range of movement of the thumb joint. The bones at the bottom of the thumb may become prominent in advanced disease. X-rays can confirm the presence of arthritis but they have been shown not to correlate with the severity of patients symptoms. […] Overall the osteoarthritis will burn itself out with time. The pain is a temporary feature although this may take years rather than months to improve. Surgery is often viewed as the last option if pain and restriction remain after conservative treatment fails.

• #25 Symptoms of Thumb Arthritis | UPMC HealthBeat

  https://share.upmc.com/2017/03/thumb-arthritis-symptoms/

  Arthritis at the base of the thumb is one of the most common sites of osteoarthritis in the hand. […] Here is a closer look at the details of the condition, as well as its symptoms, diagnosis, treatment, and prognosis. […] A diagnosis is made after a thorough medical history is taken and a physical examination is completed. Specific movements and tests are then performed in an attempt to accurately reproduce the symptoms at the base of the thumb. […] X-rays can confirm the diagnosis, typically revealing cartilage loss in the joint. However, for reasons that are not always clear, the severity of pain doesn’t necessarily correlate with cartilage loss shown on x-rays.

• #26 Base of Thumb Arthritis in Mesa, Chandler, Gilbert, Tempe, and Phoenix | Gerald L. Yospur, M.D.

  https://www.dryospur.com/base-of-thumb-arthritis/

  Usually diagnosed by history and physical exam. […] X-rays can confirm the diagnosis. While x-rays can help determine how advanced the arthritis is, they do not always correlate with the degree of pain one experiences. For example there may be advanced disease on the x-ray but the patient may not be experiencing a lot of pain. The converse is also true.

• #27 Thumb Arthritis: Exploring Diagnosis and Treatment Options

  https://regenorthosport.com/thumb-arthritis-exploring-diagnosis-and-treatment-options/

  If you have been diagnosed with thumb arthritis, it is important to consult with an orthopedic specialist to determine the most effective treatment plan. […] If you experience this conditions recurring symptoms, consider opting for a proper diagnosis. Here we have listed out the procedures for a thumb arthritis diagnosis. […] As the first step in diagnosing thumb arthritis, your healthcare professional will perform a complete physical examination of your thumb. […] Imaging tests such as X-rays, MRI scans, and CT scans are performed to confirm the diagnosis of the condition. […] This examination or analysis identifies the damaged cartilage affecting the joints. […] The choice of thumb arthritis treatment depends on the severity of the condition and the accompanying symptoms. […] After a proper diagnosis, the orthopaedic specialist may recommend a combination of various treatment options. […] If the conservative treatment options are ineffective in improving the symptoms of thumb arthritis or if you still experience pain, your healthcare professional might recommend surgery as the last option.

• #28 Base of Thumb Arthritis: Causes, Symptoms, And Treatment

  https://www.mskclinic.co.uk/post/base-of-thumb-arthritis-causes-symptoms-and-treatment

  Thumb arthritis can be diagnosed by a doctor following clinical and radiological assessment. […] X-rays are used to confirm the diagnosis. […] Ultrasound scan can also be useful in excluding other soft tissue problems that can cause pain around the thumb and to guide injections into the base of the thumb for accuracy.

• #29 Thumb Arthritis Test – A Guide on Learning About Thumb Arthritis

  https://nowserving.ph/blog/thumb-arthritis-test/

  A thumb arthritis test is performed by doctors to evaluate the joint condition at the base of the thumb also known as the carpometacarpal joint (CMC joint). The result would be considered positive if the patient experienced pain during the examination that would confirm thumb arthritis. […] Signs and symptoms include pain, grasp and pinch weakness, inflammation, thumb base discomfort, and limited joint mobility. Doctors would perform the following to properly diagnose thumb arthritis: a physical examination to check for swelling, stiffness, deformity, and instability; joint palpation while checking for pain; a detailed medical history interview; radiographic imaging to confirm the severity of thumb arthritis based on the Eaton-Litter classification (including joint space narrowing, presence of osteophytes, and bone changes).

• #30 Hand to Shoulder Center of Wisconsin | Thumb Arthritis

  https://handtoshoulderwisconsin.com/our-specialties/hand/thumb-arthritis/

  At Hand to Shoulder Center of Wisconsin, our orthopedic doctors and staff have extensive experience diagnosing and treating thumb arthritis. […] The orthopedic physicians at Hand to Shoulder Center of Wisconsin are highly experienced in hand and upper extremity injuries and conditions. A thorough examination is conducted and all prior hand, wrist, and arm injuries and conditions are explored. X-rays typically are ordered to view the damage of the joint and how the degenerative arthritis has affected the cartilage in the CMC joint. […] Utilizing the X-ray findings in combination with the physician’s examination, thumb arthritis is classified in stages of I, II, III, or IV. Stage I will display limited damage to the CMC joint; as the levels increase, the damage to the cartilage becomes more widespread. Bone spurs, narrowing of the joint space and even joint dislocation may be seen in Stage IV.

• #31 Arthritis of the Hand, Thumb & Wrist | Grand Rapids Orthopedic Doctors

  https://www.oamichigan.com/hand-upper-extremity/hand-upper-extremity-conditions/arthritis-hand-thumb-wrist/

  Arthritis at the base of thumb is a very common disorder encountered by the primary care physician and the hand specialist. […] The differential diagnosis of CMC arthritis includes other common disorders at the radial aspect of the hand and wrist. […] The diagnosis is made by history, physical exam, and radiographic findings. […] If after the history and physical exam, there still is some question regarding the diagnosis, radiographs should help confirm the problem. […] Typical findings are loss of joint space, spurring and osteophyte formation from the trapezium and metacarpal base. […] One thing to keep in mind is that radiographic findings do not always correlate well with physical findings or symptoms. […] Treatment begins with conservative measures. […] When conservative methods are no longer effective and the pain is disabling, surgical arthroplasty remains a time-honored successful procedure for this problem.

• #32 Arthritis of the Thumb – OrthoInfo – AAOS

  https://orthoinfo.aaos.org/en/diseases–conditions/arthritis-of-the-thumb/

  An X-ray may show deterioration of the joint, including narrowing of the joint space and formation of bone spurs. […] Many people with arthritis at the base of the thumb also have symptoms of carpal tunnel syndrome, so your doctor may check for that, as well. […] In its early stages, arthritis at the base of the thumb will respond to nonsurgical treatment. […] Because arthritis is a progressive, degenerative disease, the condition may worsen over time. The next phase in treatment involves injecting a steroid solution directly into the joint. This will usually provide relief for several months. However, these injections cannot be repeated indefinitely and may become less effective over time. […] When nonsurgical treatment is no longer effective, surgery is an option. The operation can be performed on an outpatient basis, and several different procedures can be used. […] Basal joint arthritis, or thumb CMC arthritis, is a very treatable condition, and many patients are satisfied with their outcome after treatment. Patients who don’t achieve relief with nonsurgical treatment very often have a good result after surgery.

• #33 Arthritis of the Thumb – OrthoInfo – AAOS

  https://orthoinfo.aaos.org/en/diseases–conditions/arthritis-of-the-thumb/

  An X-ray may show deterioration of the joint, including narrowing of the joint space and formation of bone spurs. […] Many people with arthritis at the base of the thumb also have symptoms of carpal tunnel syndrome, so your doctor may check for that, as well. […] In its early stages, arthritis at the base of the thumb will respond to nonsurgical treatment. […] Because arthritis is a progressive, degenerative disease, the condition may worsen over time. The next phase in treatment involves injecting a steroid solution directly into the joint. This will usually provide relief for several months. However, these injections cannot be repeated indefinitely and may become less effective over time. […] When nonsurgical treatment is no longer effective, surgery is an option. The operation can be performed on an outpatient basis, and several different procedures can be used. […] Basal joint arthritis, or thumb CMC arthritis, is a very treatable condition, and many patients are satisfied with their outcome after treatment. Patients who don’t achieve relief with nonsurgical treatment very often have a good result after surgery.

• #34 Thumb Pain Causes, Symptoms, Diagnosis, and Treatments

  https://www.healthline.com/health/thumb-pain

  Various health conditions can cause thumb pain. […] In some cases, consistent pain in your thumb can indicate that you need surgery or treatment for another underlying health condition, such as arthritis. […] The cushion-like cartilage inside your thumb joint can break down as you age, causing the symptoms of thumb arthritis. […] Other symptoms include loss of grip strength and thumb mobility. […] Thumb arthritis can be related to osteoarthritis (which affects the joint and the bone) or rheumatoid arthritis (an auto-immune condition). […] Thumb pain at your thumb joint caused by arthritis can feel like burning, stabbing, or a more subtle creaking pain. […] Thumb pain can be diagnosed in several ways, depending on your other symptoms. […] Common methods of diagnosing thumb pain include: X-ray to reveal fractures or arthritis, tests for carpal tunnel syndrome, including Tinels sign (a nerve test) and electronic nerve activity tests, ultrasound to see inflamed or enlarged nerves, MRI to see wrist and joint anatomy. […] Other causes, such as arthritis and carpal tunnel syndrome, may require medical treatment.

• #35 How is Hand CMC Joint Arthritis Diagnosed?

  https://ioatlanta.com/blog/how-is-hand-cmc-joint-arthritis-diagnosed

  Hand CMC (carpometacarpal) joint arthritis, commonly known as thumb arthritis, is a condition that significantly impacts the thumb joint, causing pain and limiting functionality. […] Identifying the symptoms of hand CMC joint arthritis, or thumb arthritis, is the first crucial step toward a proper diagnosis. […] Dr. Williams typically begins the diagnosis with a detailed medical history and physical examination. This includes assessing for tenderness at the thumb base, evaluating the range of motion, and observing pain during movement. Imaging tests such as x-rays or MRIs are often utilized to confirm the diagnosis, revealing typical changes in the joint associated with arthritis. […] Selecting a skilled professional for thumb arthritis diagnosis and treatment is crucial. Dr. Christopher Williams at Interventional Orthopedics of Atlanta offers comprehensive care for hand CMC joint arthritis in Atlanta. His approach ensures patients receive a diagnosis and treatment plan that suits their specific needs. […] Early diagnosis and intervention are key to effectively managing this condition.

• #36 Hand & Wrist Arthritis | Symptoms, Diagnosis & Treatment | MedStar Health

  https://www.medstarhealth.org/services/hand-and-wrist-arthritis

  Thumb arthritis, also called basal joint arthritis, is a type of osteoarthritis caused when cartilage wears away in the joint at the base of the thumb. […] The best way to minimize the damage of thumb arthritis and treat it successfully is to see your doctor when symptoms begin. The sooner you begin treatment, the more options you’ll have to manage the condition. […] Symptoms often include: Pain felt at the base of your thumb when you grip or pinch something. Pain when you apply pressure to the heel of your hand. Stiffness in the morning that gets better during the day but begins to ache in the evening. Swelling and tenderness at the base of the thumb. Aching in the joint after prolonged use. A limited range of motion in the thumb, or loss of strength while gripping or pinching items. A bump on the joint or an enlarged, out-of-joint appearance.

• #37 Thumb Arthritis, Understanding the 4 Stages -Updated 2024

  https://www.blog.ohmyarthritis.com/thumb-arthritis-understanding-the-4-stages-and-how-to-manage-it/

  Thumb arthritis affects millions of people worldwide, causing pain, stiffness, and limited mobility in the thumb joints. […] Thankfully, an early diagnosis and prompt treatment can make a significant difference in managing thumb arthritis. […] Understanding the four stages of thumb arthritis empowers you to manage and treat the condition effectively. […] By taking proactive steps to manage it, you can live a more comfortable and active life. […] Seek early diagnosis and treatment for better outcomes.

• #38 Thumb arthritis – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/thumb-arthritis/symptoms-causes/syc-20378339

  Thumb arthritis occurs when the cartilage in the carpometacarpal (CMC) joint wears away. […] Thumb arthritis is common with aging and occurs when cartilage wears away from the ends of the bones that form the joint at the base of your thumb also known as the carpometacarpal (CMC) joint. […] Treatment generally involves a combination of medication and splints. Severe thumb arthritis might require surgery. […] See your doctor if you have persistent swelling, stiffness or pain at the base of your thumb. […] Thumb arthritis commonly occurs with aging. Previous trauma or injury to the thumb joint also can cause thumb arthritis. […] Although osteoarthritis is the most common cause of thumb arthritis, rheumatoid arthritis can also affect the CMC joint, usually to a lesser extent than other joints of the hand.

• #39 Thumb (Basal Joint) Arthritis: Pain, Tests & Treatment

  https://my.clevelandclinic.org/health/diseases/thumb-arthritis

  Thumb arthritis is osteoarthritis in the basal joint at the base of your thumb. […] Thumb arthritis symptoms include pain, swelling and loss of strength and motion in your thumb. […] A healthcare provider will ask about your symptoms. They may ask if your thumb hurts all the time or if certain activities cause pain. […] Your provider may also request an X-ray to confirm the diagnosis. […] Thumb arthritis treatment varies based on the severity of your symptoms. […] Your healthcare provider may recommend physical therapy or occupational therapy. […] If you notice pain, swelling or stiffness in your thumb joint, talk to a healthcare provider.

• #40 Basal thumb arthritis: Is it causing your thumb joint pain? | HealthPartners Blog

  https://www.healthpartners.com/blog/thumb-arthritis/

  The most common location of thumb arthritis is in the joint at the base of your thumb. This joint is called the basal joint or the carpometacarpal (CMC) joint of the thumb, which is why thumb arthritis is often referred to as basal joint arthritis or CMC arthritis. […] Many people get basal joint arthritis as they get older estimates say that it affects 30-50% of people over the age of 50. Symptoms can be so mild that it doesnt have to be treated. But thumb arthritis can also be severe enough that surgery is recommended to help with the symptoms. […] Its worth seeing a hand specialist or primary care doctor if you have swelling, stiffness or pain at the base of your thumb that doesnt go away. Both doctors can help diagnose the cause of hand pain and recommend treatments to manage your symptoms.

• #41 Thumb (Basal Joint) Arthritis: Pain, Tests & Treatment

  https://my.clevelandclinic.org/health/diseases/thumb-arthritis

  Thumb arthritis is osteoarthritis in the basal joint at the base of your thumb. […] Thumb arthritis symptoms include pain, swelling and loss of strength and motion in your thumb. […] A healthcare provider will ask about your symptoms. They may ask if your thumb hurts all the time or if certain activities cause pain. […] Your provider may also request an X-ray to confirm the diagnosis. […] Thumb arthritis treatment varies based on the severity of your symptoms. […] Your healthcare provider may recommend physical therapy or occupational therapy. […] If you notice pain, swelling or stiffness in your thumb joint, talk to a healthcare provider.

• #42 Arthritis of the Hand: Symptoms, Types & Treatments

  https://my.clevelandclinic.org/health/diseases/7082-arthritis-of-the-wrist-and-hand

  Arthritis of the hand causes pain and swelling, stiffness and deformity. As arthritis progresses, you cant use your hands to manage everyday tasks as you once could. […] Your healthcare provider can make the diagnosis of arthritis of the hand by examining your hand and with X-rays. X-rays show loss of bone cartilage and formation of bone spurs. A blood test for rheumatoid factor and other markers can help determine if the cause is rheumatoid arthritis. […] Treatment options depend on the type of arthritis, stage of arthritis, how many joints are affected, your age, activity level, the hand affected (if it’s your dominant hand) and other existing medical conditions. […] If nonsurgical treatments no longer provide relief and the cartilage at the ends of your bones has worn away, surgery may be an option. There are several approaches:

• #43 Hand & Wrist Arthritis | Symptoms, Diagnosis & Treatment | MedStar Health

  https://www.medstarhealth.org/services/hand-and-wrist-arthritis

  In the early stages of thumb arthritis, a number of treatments can alleviate symptoms, including: Oral or topical medications, such as acetaminophen, ibuprofen, prescription pain relievers, or pain-relieving gels. Icing the area for five to 15 minutes as needed throughout the day to relieve pain and swelling. Working with a hand therapist to strengthen supporting muscles and tendons and learning adaptive techniques to lessen the strain on the joint. Wearing a supportive splint or brace to limit thumb movement and allow the joint to heal. […] When nonsurgical treatments are no longer effective, surgery can offer relief. Most often, surgeons use the ligament reconstruction and tendon interposition (LRTI) technique, which can restore thumb movement and eliminate pain. During this outpatient procedure, surgeons remove the arthritic joint and replace it with a graft from one of your tendons to stabilize the thumb. Because tendons are used, rather than a metal or plastic implant that can wear out, the surgery can provide a long-term solution.

• #44 Osteoarthritis | Symptoms, Diagnosis & Treatments | ROC

  https://www.renoortho.com/specialties/center-for-hand-upper-extremity/osteoarthritis/

  The doctor will take a history in order to determine several things; where and how long the pain has been there, what makes it worse, and what youve done for treatment. They will look for swelling or deformity. They will feel around the hand and wrist trying to pinpoint the exact area of pain. Often the doctor will compress the joint to try and reproduce what the thumb does when grasping. If pain is produced, it helps zero in on the diagnosis. Often times, x-rays are ordered to confirm the diagnosis and gauge the severity. Other tests like MRIs, CTs, or ultrasound are rarely needed. Other issues such as tendinitis, wrist arthritis, or ganglion cysts can mimic thumb arthritis. […] Surgery is reserved for people that have failed conservative treatment and believe the pain is significant enough to undergo an operation. Non-operative treatment does not cure arthritis, but is an attempt to lessen the symptoms. Surgery should be considered when the pain is so severe that it is not bearable nor lessened enough with conservative treatments. Surgery is designed to eliminate the rubbing of the bones that is caused by arthritis.

• #45 Hand to Shoulder Center of Wisconsin | Thumb Arthritis

  https://handtoshoulderwisconsin.com/our-specialties/hand/thumb-arthritis/

  In early stages, basal joint arthritis treatment options are typically conservative depending on the severity of symptoms. Mild anti-inflammatories, reduced activities, and splinting most often will deter early symptoms; however, since it is a degenerative disease, symptoms do worsen over time. […] A cortisone injection is another option for temporary pain relief. […] When conservative measures no longer ease the pain and discomfort, basal joint arthritis surgery is recommended. Surgery options are available and include: Osteotomy – bone is trimmed (cut) to allow re-positioning of bones to correct deformity; Trapeziectomy and ligament reconstruction – trapezium bone is removed from the CMC joint and tendon material is used to suspend and stabilize the reconstructed thumb.

• #46 Arthritis of the Hand: Symptoms, Types & Treatments

  https://my.clevelandclinic.org/health/diseases/7082-arthritis-of-the-wrist-and-hand

  You and your surgeon will discuss which surgical approach might be best for your hand considering your age, activity level, the joint(s) affected and the amount of pain and deformity youre experiencing. […] There is no cure for arthritis. However, you can usually manage mild to moderate symptoms with a combination of medication and non-medication approaches. Surgery may be an option if other treatments fail or the arthritis in your hands is severe. Your healthcare provider will explain what outcome you can expect for your type and severity of arthritis, your age, other existing medical conditions and other factors.

• #47 Osteoarthritis: Symptoms, Diagnosis, and Treatment | Arthritis Foundation

  https://www.arthritis.org/diseases/osteoarthritis

  Medical history, a physical examination and lab tests help to make up the OA diagnosis. […] A primary care doctor may be the first person you talk to about joint pain. The doctor will review your medical history, symptoms, how the pain affects activities, as well as your medical problems and medication use. He or she will also look at and move your joints, and may order imaging. These tests help to make the diagnosis: […] Joint aspiration. After numbing the area, a needle is inserted into the joint to pull out fluid. This test will look for infection or crystals in the fluid to help rule out other medical conditions or other forms of arthritis. […] X-ray. X-rays can show joint or bone damage or changes related to osteoarthritis. […] MRI. Magnetic resonance imaging (MRI) gives a better view of cartilage and other parts of the joint.

• #48 Evaluation of Physical Examination Tests for Thumb Basal Joint Osteoarthritis

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4920516/

  Our study indicates that, of the 3 provocative tests, the lever test was the most sensitive for BJA. […] The lever test and joint palpation best reproduce the pain caused by thumb basal joint osteoarthritis. A physical examination test sensitive for BJA optimizes efficiency while seeing patients. […] We believe that a combination of all 3 is necessary for diagnosis: history of pain at the basal joint, pain with a physical examination maneuver sensitive for BJA, and positive radiographic reading. We recommend using the lever physical examination test and joint palpation when evaluating a patient with suspected basal joint arthritis. The often-quoted grind test is of limited value.

• #49 Evaluation of Physical Examination Tests for Thumb Basal Joint Osteoarthritis

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4920516/

  Our study indicates that, of the 3 provocative tests, the lever test was the most sensitive for BJA. […] The lever test and joint palpation best reproduce the pain caused by thumb basal joint osteoarthritis. A physical examination test sensitive for BJA optimizes efficiency while seeing patients. […] We believe that a combination of all 3 is necessary for diagnosis: history of pain at the basal joint, pain with a physical examination maneuver sensitive for BJA, and positive radiographic reading. We recommend using the lever physical examination test and joint palpation when evaluating a patient with suspected basal joint arthritis. The often-quoted grind test is of limited value.

• #50 Hand & Wrist Arthritis | Symptoms, Diagnosis & Treatment | MedStar Health

  https://www.medstarhealth.org/services/hand-and-wrist-arthritis

  Thumb arthritis, also called basal joint arthritis, is a type of osteoarthritis caused when cartilage wears away in the joint at the base of the thumb. […] The best way to minimize the damage of thumb arthritis and treat it successfully is to see your doctor when symptoms begin. The sooner you begin treatment, the more options you’ll have to manage the condition. […] Symptoms often include: Pain felt at the base of your thumb when you grip or pinch something. Pain when you apply pressure to the heel of your hand. Stiffness in the morning that gets better during the day but begins to ache in the evening. Swelling and tenderness at the base of the thumb. Aching in the joint after prolonged use. A limited range of motion in the thumb, or loss of strength while gripping or pinching items. A bump on the joint or an enlarged, out-of-joint appearance.

• #51 Thumb Arthritis, Understanding the 4 Stages -Updated 2024

  https://www.blog.ohmyarthritis.com/thumb-arthritis-understanding-the-4-stages-and-how-to-manage-it/

  Thumb arthritis affects millions of people worldwide, causing pain, stiffness, and limited mobility in the thumb joints. […] Thankfully, an early diagnosis and prompt treatment can make a significant difference in managing thumb arthritis. […] Understanding the four stages of thumb arthritis empowers you to manage and treat the condition effectively. […] By taking proactive steps to manage it, you can live a more comfortable and active life. […] Seek early diagnosis and treatment for better outcomes.

Zobacz więcej