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Hand osteoarthritis

(Or rhisarthrosis)

Thumb saddle joint arthrosis (rhisarthrosis)

27 bones are in the hand - a quarter of the bones of the human body. The complex features that are made possible with this variety of bones, joints and muscles due to be in a healthy person is often underestimated, and apparently the first case of failure. As with the thumb saddle joint osteoarthritis - the most common arthritis of the hands.

What is a rhisarthrosis?

As rhisarthrosis (Ritza it comes from the Greek and can be translated as root) is the arthritis of the thumb saddle joint. The carpometacarpal joint is the joint between the first metacarpal and the trapezium (which has the shape of a saddle and gave the joint name). It is important for the full movement of the thumb.

Usually caused by overuse over the years and following a cartilage damage by abrasion of the damaged cartilage, a deformation of the joint. The disease begins slowly, only at a relatively late stage pain occur, usually in the range of the thenar and strengthened as the screw on jars or bottles. The mobility of the thumb is not usually limited.
in particular, are post-menopausal women aged 50-60 years affected by the rhisarthrosis discussed, so it is also a hormone-related relaxation of the ligaments around the seat joint.

How is the diagnosis?

After clinical examination, the diagnosis is confirmed by an X-ray image of the hand.

What are the treatment options?

In the early stages, provides treatment with local infiltration with Orthokine physical therapy and acupuncture.
In advanced stages, only if the pain and the restoration of full operational capability of the hand.

What are the options for surgical rhisarthrosis?
There are two surgical options for the treatment of first carpometacarpal joint

  • the classical method of hand surgery is surgery to EPPING.
  • the new saddle joint prosthesis

Last Updated ( Wednesday, 27 July 2011 11:33 )  

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