These included: This compares to adverse effects in only 10 percent of people who had their trapezium bone removed (trapeziectomy), but no ligament reconstruction and tendon interposition. During LRTI, a surgeon removes the damaged bone surfaces and part or all of the trapezium bone in your wrist. This often happens from falling on your outstretched hand. The goal of physical therapy is to regain full range of motion in your thumb. Wear shoes that fit well and make sure your shoelaces are tied properly so youre less likely to trip and fall. Thumb-basal joint arthroplasty outcomes and metacarpal subsidence: A prospective cohort analysis of trapeziectomy with suture button suspensionplasty versus ligament reconstruction with tendon . Theyll then perform a physical exam to assess the stability of your thumb joint and where the pain is coming from to determine if the injury is or isnt a sprain and how severe the injury is. Treatment. With traditional surgery, the ligament is sutured, and the thumb is immobilized in a cast for four to six weeks. Range of motion returns much sooner, too. But, complex surgery for more severe . Often, the two ends of the tendon are very damaged and cannot be sewn back together. Removing the trapezium does come with additional risks, such as a loss of pinch strength and a potentially shortened thumb. If your finger joint is significantly damaged and is interfering with your daily activities and quality of life, then an arthroplasty may be the. Some conditions can increase your risk of complications, including diabetes and undergoing renal dialysis. LRTI surgery removes a small bone (trapezium) at the base of the thumb, and rearranges a nearby tendon to serve as a cushion for the arthritic thumb joint. Injury to the Ulnar Collateral Ligament of the Thumb Youll also be asked to perform a series of gentle exercises using your thumb to improve strength, range of motion, and stability around the joint. The surgical process begins with an incision made in the hand, where the ruptured tendon will be repaired. The affected ligament is completely torn or separated from . With that said, it may take time before you can regain full use of your thumb and hand. In a 2017 study, 89% of people who had total joint replacement were happy with the results. UCL repair surgery is an outpatient procedure and patients go home the same day. The swelling and pain are expected to subside within a few weeks. (2017). If youve been experiencing pain in your thumb, you should schedule a consultation with your surgeon. It may also be done under a general anesthesia. "Although not all hand surgeons perform this technique, it's already grown by leaps and bounds in popularity.". The trapezium is a nugget-shaped bone in the wrist situated immediately beneath the long bone of the thumb, called the metacarpal bone. Plus, we offer tips on how to live healthfully and make the most of your doctor visits. Physical therapy for thumb arthritis begins by focusing on pain and swelling control.
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