UNLABELLED The use of local anesthesia with epinephrine and no tourniquet/no sedation is becoming an excellent alternative for hand surgeries. This wide-awake approach is the most commonly used method of anesthesia for carpal tunnel release in Canada. The purpose of this paper is to provide a video detailing this technique for trapeziectomy for trapeziometacarpal joint osteoarthritis. ELECTRO...

1. Batra S, Kanvinde R. Osteoarthritis of the thumb trapeziometacarpal joint. Orthopaedics and Trauma 2007; 21:135-44. 2. Cook GS, Lalonde DH. MOC-PSSM CME article: Management of thumb carpometacarpal joint arth ritis. Plast Reconstr Surg 2008;121:1-9. 3. Merritt MM, Roddey TS, Costello C, et al. Diagnostic value of clinical grind test for carpo meta carpal osteoarthritis of the thumb. J Hand T...

PURPOSE There are several tendon interposition arthroplasty techniques for treatment of the trapeziometacarpal joint osteoarthritis. The technique implemented by Ceruso, which uses the abductor pollicis longus, is an ideal solution. Through the radial exposures, it is possible to remove the trapezium, to split the abductor pollicis longus and to do the arthroplasty. This surgical technique is s...