Imaging and management of thumb carpometacarpal joint osteoarthritis

David M. Melville, Mihra S. Taljanovic, Luke R. Scalcione, Joseph M. Eble, Lana H. Gimber, Gregory L. DeSilva, Joseph E. Sheppard

Research output: Contribution to journalArticle

12 Scopus citations

Abstract

Primary osteoarthritis (OA) involving the thumb carpometacarpal (CMC) joint is a common and frequently debilitating disease. Clinical examination and radiographs are usually sufficient for diagnosis; however, familiarity with the cross-sectional anatomy is useful for diagnosis of this condition. The most widely used classification system for the radiographic staging of thumb carpometacarpal joint OA was first presented by Eaton and Littler, ranging from mild (stages I and II) to severe (stage IV) disease. If conservative treatment fails, surgical treatment is considered. A variety of surgical techniques have been developed and implemented for the management of this pervasive and disabling condition. The purpose of this article is to review the anatomy of the basal joints of the thumb, pathophysiology, preoperative imaging, and various surgical techniques that are utilized in the treatment of OA of the basal joints of the thumb with emphasis on normal postoperative radiographic findings and possible postoperative complications.

Original languageEnglish (US)
Pages (from-to)165-177
Number of pages13
JournalSkeletal Radiology
Volume44
Issue number2
DOIs
StatePublished - Sep 11 2015

Keywords

  • Arthroplasty
  • Carpometacarpal
  • Osteoarthritis
  • Thumb

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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