Basal thumb syndrome

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According to the American Academy of Orthopedic Surgeonsthumb arthritis usually occurs after 40 years of age and is more common in women than in men. While arthritis of the thumb can be painful, a doctor can recommend treatments to reduce symptoms and improve a person's range of motion and quality of life. Thumb arthritis is arthritis that occurs in the joint at the base of the thumb, known as the basal joint.

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A joint is formed when two bones meet and articulate, which allows movement. Joints are lined with smooth cartilage that allows for the easy movement of one bone relative to another. Osteoarthritisor degenerative arthritis, is a process that occurs with aging and describes the deterioration of the joint cartilage.

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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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The basal joint is the joint between the thumb and the wrist. Arthritis at this joint [figure 1] is most common in women over 40, but anyone can get it. The primary symptom is pain with use of the thumb when lifting or opening jars or doors.

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Basal joint arthritis is the result of the wearing away of cartilage in the joint at the base of the thumb. The basal joint allows your thumb to move around so you can perform small motor tasks. Without plenty of cushioning cartilage, the joints become rough and grind over each other when you move, causing more joint damage.

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Trapeziometacarpal osteoarthritisalso known as osteoarthritis at the base of the thumb or as rhizarthrosisis a reparitive joint disease affecting the first carpometacarpal joint CMC1. Because of its relative instability, this joint is a frequent site for osteoarthritis. The main complaint of patients is pain.

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De Quervain's Syndrome is stenosing tenosynovitis of the first dorsal compartment of the wrist. This will cause pain and swelling over the radial side thumb side of the wrist Figure 1. It occurs due to inflammation, thickening and stenosis of the synovial sheath.

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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.

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If you have de Quervain's tenosynovitis, it will probably hurt when you turn your wrist, grasp anything or make a fist. Although the exact cause of de Quervain's tenosynovitis isn't known, any activity that relies on repetitive hand or wrist movement — such as working in the garden, playing golf or racket sports, or lifting your baby — can make it worse. If the condition goes too long without treatment, the pain may spread further into your thumb, back into your forearm or both.


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