Thumb osteoarthritis

Symptoms

Usually the symptoms are mainly pain at the base of the thumb, pain with certain gripping movements (opening a bottle or jar, tying a shirt,...) and reduced mobility of the thumb. As a result, the function of the hand deteriorates and we usually see external swelling at the base of the thumb. If the osteoarthritis worsens further, a deformity of the thumb develops.

Treatment

In the early stages of the condition anti-inflammatories, a thumb brace and rest can sometimes help. In addition, an injection of cortisone can be given against the pain. If this does not help or if the symptoms return quickly, surgery is necessary. This is done via day hospitalization.

Surgery

There are two types of surgery possible based on the severity of osteoarthritis. The bone affected with osteoarthritis can be removed and replaced with the forearm's own tendon (Burton Pellegrini surgery). Another option is to replace the joint at the base of the thumb with a prosthesis.

After the procedure, you will receive a cast and, depending on the type of surgery, you will have to take a few weeks to months of rest. It is best to avoid strenuous exercise. When the cast is removed you may use the thumb normally again, but always wear a protective brace.