Figure 1: Anatomy of muscular system of the hand.
Pathomechanics of the Thumb CMC Joint
Ligamentous laxity and joint impingement: The movements at the thumb CMC joint explain the characteristic problems seen with thumb CMC joint OA. Laxity in the anterior oblique or “beak” ligament can predispose the thumb CMC joint to excessive pressure on the volar portion of the trapezium, particularly during lateral pinch activities such as holding a key.5 With beak ligament laxity, resisted pinching can lever the base of the metacarpal dorsally, resulting in volar compression and posterior translation of the base of the metacarpal. The dorsal/lateral subluxation of the metacarpal base produces the “shoulder sign,” a lateral prominence of the CMC joint, which has been associated with CMC OA (see Figure 2).
Really suffering with pain on my left ankel and right wrist plz help
I’m sorry we can’t help you directly, but if you need a physician in your area, you can use the Find a Rheumatologist tool on the ACR’s website.
Sure wish they would make longer splints seamless. That seam hits right where it hurts.
I would also like to know when they’re going to start trials with the artificial cartilage that they have in the UK (CARTIVA), or the 3D printing with cartilage, or a superior implant for the thumb. I’m not doing a surgery that can’t be redone, so anything else is out of the question. We can put a man on the moon, and with so many afflicted with this, we still haven’t found a suitable replacement for the joint that makes us different from animals?
Your thoughts on stem cell treatment? I see some research on this surgical alternative. I had to have the procedure on my left wrist, and currently must wear a brace on the right. The surgery was ‘successful’ but left me with continuing pain and now an atrophied hand. I want to avoid having that on my dominant hand if humanly possible. How soon might stem cell treatment be here?
I have thumb inflammation,with severe pain,phramicist suggest me aproxin and lequix , although both are good ,but what will be quick releif
I’m sorry, but we cannot give medical advice in this forum.
Junaid: I’m having the same issue. I was given Voltaren cream prescription by my RA doctor. Apply topically up to 4 times per day. Thankfully my insurance covered the majority of the generic brand. It’s minimizing the pain but still throbs and aches. Also have been putting ice pack on to dull the pain quickly. So I’m going to get a steroid type injection in the CMC joint and have an x-ray done.
Good luck with your issue. Hope this helps some.
conwaycharlene46@gmail.com. charlene: i have suffered with this carpal tunnel, iv’e had 2 surgeries 1 on both hands, right now im having a lot of pain in my right thumb, shooting pains, numbness in only the rt. thumb, i need to get this corrected ASAP, Help me.