Base of the thumb

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The basilar joint of the thumb, or carpometacarpal CMC joint, is unique because it provides mobility and stability. However, years of use or injuries may cause dysfunction and pain in this joint. This problem occurs when the cartilage buffer between the bones that permits pain-free movement is worn away and the bones rub against each other.

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In a normal joint, cartilage covers the ends of the bones and allows them to move smoothly and painlessly against one another. In osteoarthritis or degenerative arthritisthe cartilage layer wears out, resulting in direct contact between the bones. In the hand, the second most common joint to develop osteoarthritis is the joint at the base of the thumb.

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De Quervain's tendinosis occurs when the tendons around the base of the thumb are irritated or constricted. The word "tendinosis" refers to a swelling of the tendons. Swelling of the tendons, and the tendon sheath, can cause pain and tenderness along the thumb side of the wrist.

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Arthritis is a condition that irritates or destroys a joint. Although there are several types of arthritis, the one that most often affects the joint at the base of the thumb the basal joint is osteoarthritis degenerative or "wear-and-tear" arthritis. Smooth cartilage covers the ends of the bones. It enables the bones to glide easily in the joint.

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Although these therapies may not always provide long-term relief, for most people with thumb arthritis, they can effectively lessen symptoms, and surgery may not be necessary. Surgery for arthritis of the thumb is usually a treatment of last resort. The thumb is designed to give you a wide range of motion, enabling you to pinch, grip and grasp objects.

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Christopher W. Bunt offutt. How should you treat these common causes of nontraumatic thumb pain?

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All Preparations. All Approaches. This approach is indicated for intraarticular fractures of the first carpo-metacarpal joint, such as the Bennett, or Rolando, injuries. It is also indicated for basal metacarpal, or trapezial fractures.

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Thumb arthritis is common with aging and occurs when cartilage wears away from the ends of the bones that form the joint at the base of your thumb — also known as the carpometacarpal CMC joint. Thumb arthritis can cause severe pain, swelling, and decreased strength and range of motion, making it difficult to do simple tasks, such as turning doorknobs and opening jars. Treatment generally involves a combination of medication and splints.

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Osteoarthritisthe most common type of arthritis, frequently affects the joint at the base of the thumb where it meets the wrist. Known as basal joint arthritis or basal thumb arthritis, this condition is more common in women than men and is associated with aging. Over time, the cartilage that covers the ends of the bones degenerates, and excess bone forms.

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