Basal Joint Arthritis Of The Thumb

Basal Joint Arthritis of the Thumb Christian Veillette, MD, MSc, BSc(Hon) Orthopaedic Resident PGY-4 Upper Extremity Rounds 2004 St. Michael’s Hospital

Objectives ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Epidemiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Etiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Anatomy and Biomechanics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Anatomy and Biomechanics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Anatomy and Biomechanics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Role of palmar beak ligament ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Anatomy and Biomechanics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Anatomy ,[object Object],[object Object],[object Object],[object Object],[object Object]

Pathoanatomy ,[object Object],[object Object],[object Object],[object Object],[object Object]

Pathoanatomy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Clinical Exam ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Clinical Exam ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Clinical Exam ,[object Object],[object Object],[object Object],[object Object],[object Object]

Imaging ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Classification - Eaton ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Eaton, Lane, Littler. J. Hand Surg. 9A 1984

Classification ,[object Object],[object Object],[object Object],[object Object],[object Object]

Classification ,[object Object],[object Object],Exact risk and rate of progression cannot be precisely delineated. No longitudinal studies

Differential Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Non-operative Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Splinting ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Operative Indications ,[object Object],[object Object],[object Object],[object Object]

Principles of Surgery ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Procedures ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Algorithm JAAOS. 2000;8:314-323

Trapezium Excision ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Arthrodesis – TM Joint ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Arthrodesis – TM Joint ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Anchovy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Silicone Arthroplasty ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Silicone Arthroplasty ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Osteotomy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Volar Ligament Reconstruction ,[object Object],[object Object],[object Object],[object Object],[object Object]

Volar Ligament Reconstruction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Volar Ligament Reconstruction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Ligament Reconstruction with Tendon Interposition Arthroplasty (LRTI) ,[object Object],[object Object],[object Object],[object Object]

LRTI - Results 8% 95% excellent 3 21 Horn resection Double LRTI Baron,Eaton J. Hand Surg 1998 13% 95% excellent 9 24 Excised LRTI Tomaino,Pellegrini,Burton J. Hand Surg. 77A,1995 11% 92% excellent 2 24 Excised LRTI Burton,Pellegrini J. Hand Surg 1986 n/a 92% excellent 3 25 Partial LRTI Eaton,Glickel,Littler J.Hand Surg. 10A(5)1985 Migration/ Loss Height Results F/U (yr) n Trapezium Proced. Author

Double Interposition Arthroplasty ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

PubMed ,[object Object],[object Object],[object Object],[object Object]

Ligament reconstruction with or without tendon interposition to treat primary thumb carpometacarpal osteoarthritis. A prospective randomized study. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Thumb carpometacarpal osteoarthritis: arthrodesis compared with ligament reconstruction and tendon interposition. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Recommendations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Basal Joint Arthritis Of The Thumb

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Basal Joint Arthritis Of The Thumb