N°012 - July / August 2021
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Update on treatment options for thumb arthritis
By Philippe PASQUIER in category UPDATE
Centre de la Main - Polyclinique Montier La Celle - ELSAN 17 Rue Charles Baltet, 10120 Saint-André-les-Vergers, France / [email protected]
Small implants are no small task, and the surgery should not just fill a gap in your schedule. The same level of care is needed for arthroplasty of the thumb as when performing an arthroplasty of the knee, hip or any other joint. This includes case management, especially in terms of keeping an accurate record of the decision-making process leading up to the surgery.
It is very unusual for surgery to be offered during the initial consultation, because the patient is unlikely to have exhausted all different options for the functional relief of their symptoms.
Most of the time, the patient arrives wearing a shop-bought brace which, no matter how much or little it is worn, has not provided the hoped pain relief and functional improvement. Over-the-counter stabilising splints do not account for any thumb column deformity (especially carpometacarpal joint subluxation) and exert excessive pressure on certain areas, which can be painful. There is everything to gain by offering the patient a custom made splint, designed for their specific deformity. They will also need to be given instructions on how to wear it, whether at nights, during the day or at work.
Joint rehabilitation is of little benefit once the osteoarthritis has started. A few trial sessions could...
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