What is trapeziometacarpal joint?

The trapeziometacarpal joint is commonly referred to as an incongruous saddle joint. It makes possible the wide circumduction of the thumb, enabling activities such as grasping and pinching [2], that involves three arcs of motion: flexion–extension, abduction–adduc- tion, and pronation–supination.

What is trapeziometacarpal arthrodesis?

Abstract. Arthrodesis of the trapeziometacarpal (TMC) joint is one of the first surgical procedures used to treat thumb basal joint arthritis.

What movement does the trapeziometacarpal joint allow?

The trapeziometacarpal joint is a synovial saddle joint. It is a multiaxial joint, allowing the movements in three degrees of freedom; flexion-extension, abduction-adduction, and axial rotation.

Why is a Trapeziectomy so painful?

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.

Is arthritis the same as arthrosis?

Arthritis vs. Arthrosis. Arthritis is an inflammatory condition involving one or more joints throughout the body that causes pain, swelling and warmth in the affected areas. Arthrosis is a non-inflammatory degenerative condition associated with aging.

Can the thumb joint be replaced?

There are a few different types of thumb joint surgery available, but the Arthritis Foundation reports that a procedure called ligament reconstruction and tendon interposition arthroplasty has been around for more than 40 years and “is the most commonly performed surgery for thumb arthritis.”

What type of synovial joint is found at the base of the thumb the trapeziometacarpal joint?

saddle joint
The prime example of a saddle joint is the trapeziometacarpal joint at the base of your thumb. It connects the trapezium and the metacarpal bone of your thumb.

What can go wrong after 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).

How long does it take to recover after a Trapeziectomy?

A trapeziectomy is excellent at removing the pain of the arthritis, and with a reduction in pain, you will notice an increase in grip and pinch strength and overall function. However, the recovery from this procedure is slow. It takes most patients 4-6 months to return to all their normal activities.

What is CMC joint arthroplasty?

One type of surgery is called a thumb carpometacarpal (CMC) joint arthroplasty. This surgery is done to relieve pain in your thumb and wrist and give you movement of the thumb. It is often done as an outpatient surgery.

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.

When does the pain stop after Trapeziectomy?

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.

When was the trapezium excised in the treatment of CMC joint arthritis?

In the 1940s, for the painful, arthritic TMC joint, the most direct approach was resection of the trapezium. Sixty years ago, Gervis [ 13] published his clinical results after excising the trapezium in 15 patients with painful thumb CMC joint arthritis.

What are the treatment options for trapezial cartilage complex (TMC) joint arthritis?

Many procedures have been described to treat TMC joint arthritis, from simple trapezial resection to complex soft tissue arthroplasty to prosthetic arthroplasty.

What is the replacement of the trapezium for arthritis of the basal?

Replacement of the trapezium for arthritis of the basal articulations: a new technique with stabilization by tenodesis. J Bone Joint Surg Am. 1979;61:76-82.

What is interposition arthroplasty for thumb arthritis?

In 1970, Froimson developed interposition arthroplasty as a treatment option for thumb basal joint arthritis. This procedure involved trapeziectomy with interposition of a rolled-up tendon autograft into the void to combat the risk of thumb shortening and loss of strength [26].