Hand Clin. 2008 Aug;24(3):239-50, v.

Treatment of thumb metacarpophalangeal and interphalangeal joint arthritis.

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Thomas Jefferson University Hospital, The Philadelphia Hand Center, P.C., 834 Chestnut Street, Suite G114, Philadelphia, PA 19107, USA. ekshin@handcenters.com

Erratum in

Hand Clin. 2008 Nov;24(4):485.

Abstract

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.

PMID:: 18675715; [PubMed - indexed for MEDLINE]

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