OBJECTIVE Thumb problems are common in some health professionals such as physical therapists. The purpose of this case-control study is to investigate the influence of clinical experience and different mobilization techniques on the kinematics of the thumb. METHODS Twenty-three participants without exposure to manual techniques (the Novice Group) and fifteen physical therapists with at least ...

INTRODUCTION The Internet has become a heavily used source of health information. No data currently exists on the quality and characteristics of Internet information regarding carpometacarpal (CMC) arthritis. METHODS The search terms "cmc arthritis," "basal joint arthritis," and "thumb arthritis" were searched using Google and Bing. Search results were evaluated independently by four reviewer...

The mechanism of injury in dorsal dislocations is usually PIP joint hyperextension combined with some degree of longitudinal compression, which frequently occurs in ball-handling sports if the tip of the digit is hit with the ball. In the majority of cases, dorsal dislocation produces a soft tissue or bone injury to the distal insertions of the three-dimensional ligament-box complex. The greate...

Abstract Aim There are various surgical options for the management of thumb carpometacarpal joint (CMCJ) arthritis. These include first metacarpal osteotomy, trapeziectomy with or without ligament reconstruction, CMCJ arthrodesis and arthroplasty. However, if these operations fail, salvage limited. The authors aim to offer ‘first second (FSMA)’ as a procedure failed CMC surgeries. also reviewed...

INTRODUCTION Thumb basal joint arthroplasty with removal of the entire trapezium is often followed by proximal subsidence and impingement of the thumb metacarpal to the scaphoid, which is a common cause of post-operative thumb pain. Treatment of this impingement is a challenge among surgeons. We performed suspension arthroplasty combined with intercarpal ligament reconstruction using a strip of...

INTRODUCTION This study documents the first reported case of a rapidly growing (volar) thenar eminence ganglion arising form the first carpometacarpal joint, masquerading as a sarcoma. The discussion informs the hand surgeon on the evidence regarding the unusual presenting features. CASE PRESENTATION An 85 year old left hand dominant female presented with a six week history of rapidly growing...

Classical surgical options for osteoarthritis of the thumb carpometacarpal joint irreversibly des-troy the normal anatomy of the wrist. Although overall satisfaction rates with these procedures are high, time to achieve normal hand function and ability to work may take 12-16 weeks. Therefore a non-ablative less invasive surgical option would be interesting. We injected adipose tissue into the t...

Figure 1. Full-thickness defect of the volar aspect of the right distal thumb. DESCRIPTION A 56-year-old right-hand-dominant man sustained an avulsion injury to his right thumb while operating a rotating chain machine, resulting in a full-thickness traumatic defect of the volar aspect of the distal thumb measuring 7 cm 2 (Fig 1).