Treatment of thumb metacarpophalangeal and interphalangeal joint arthritis

Degenerative joint disease affecting the thumb metacarpophalangeal and interphalangeal joints is a debilitating condition, which can significantly restrict activities of daily living. Conservative measures to address symptoms include oral anti-inflammatory medications, activity modification and spli...

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Bibliographic Details
Published inHand clinics Vol. 24; no. 3; p. 239
Main Authors Shin, Eon K, Osterman, A Lee
Format Journal Article
LanguageEnglish
Published United States 01.08.2008
Subjects
Adrenal Cortex Hormones - therapeutic use
Anti-Inflammatory Agents, Non-Steroidal - therapeutic use
Finger Joint - physiopathology
Humans
Injections, Intra-Articular
Metacarpophalangeal Joint - physiopathology
Orthopedic Procedures
Osteoarthritis - etiology
Osteoarthritis - physiopathology
Osteoarthritis - therapy
Preoperative Care
Thumb - physiopathology
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Summary:Degenerative joint disease affecting the thumb metacarpophalangeal and interphalangeal joints is a debilitating condition, which can significantly restrict activities of daily living. Conservative measures to address symptoms include oral anti-inflammatory medications, activity modification and splinting, and intraarticular corticosteroid injections. Surgical interventions include arthroscopic synovectomy, arthroplasty, and finally arthrodesis of the affected articulations. Although short-term results from synovectomy and arthroplasty seem promising, long-term data are not yet available. Arthrodesis of the metacarpophalangeal and interphalangeal joints yields a stable yet functional thumb with reliably good pain relief.
ISSN:0749-0712
1558-1969
DOI:10.1016/j.hcl.2008.03.007