Ronald A. Ripps, M.D. Whetherweuseourthumbsfor orsplints.Asthearthritisadvances,a
writing, for video games, or for tender “knob” appears at the base of
crafts, al the pinch forces we the thumb, and pinch becomes distorted
generate are transmitted down from tip to side, as we usual y do, to
to the base of the thumb, the joint just side to side. There are a variety of smal
below the wrist. Circumduction (circular handy splints available that limit the
or, more precisely, conical movement) of motion of the base of thumb. The limited
of its motion. After years of hand activity motion, however, makes them somewhat
the joint at the base of the thumb post annoying to the wearer, even though they
(cal ed the “basilar” joint) becomes provide some relief.
gnarly, painful, and tender. Basilar When conservative measures fail to
arthritis (chronic inflammation of that provide sufficient lasting relief, surgery
joint) can be very disabling because we should be considered. The operation
use our hands for everything we do. It consists of excising the arthritic portions
is especial y debilitating for people who of the joint and inserting a piece of rol ed
have to write forceful y like teachers on up tendon to act as an interpositional
the marker board or office clerks who had pad. This is one day surgery that requires
to write though several carbon copies.
The arthritis progresses gradual y. In its hand therapy for a few weeks after that. It
early stages it can be treated with rest is one of the most successful operations
and anti-inflammatory drugs (e.g. Advil in al hand surgery, and almost everyone
or Aleve). More advanced stages of the derives significant relief and functional
arthritis may require a cortisone injection restoration. OrthoPROMPT A community service providing OrthopedicAn informative orthopedic publicationcare without delay for the treatment of
C F
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Ronald A. Ripps, M.D.