Osteoarthritis – Hand and Wrist-Overview - Osteoarthritis

Overview - Osteoarthritis - Hand and Wrist

Pdf Summary

This chapter discusses various types of arthritis in the hand and wrist and the treatment options available. Hand arthritis can affect different joints such as the distal interphalangeal, proximal interphalangeal, metacarpophalangeal, and trapeziometacarpal joints. Treatment options include steroid injections, fusion, arthroplasty, or joint transfer. Thumb CMC joint arthritis is common in older women and can be diagnosed clinically. Surgical options for thumb CMC arthritis include ligament reconstruction, arthroscopy, metacarpal osteotomy, arthrodesis, and arthroplasty. Wrist arthritis can occur in the radiocarpal or distal radioulnar joint. Treatment varies depending on the stage of arthritis and can include fusion or arthroplasty. Distal radioulnar joint arthritis can be treated with resection arthroplasty or DRUJ arthroplasty. Wrist arthroplasty is an option for patients with lower activity levels and refractory pain. The surgical technique involves templates and incisions, preparation of the joint, and implantation of final implants. Complications can include wound healing problems, infection, instability, and osteolysis.

Keywords

arthritis

hand

wrist

treatment options

thumb CMC joint arthritis

ligament reconstruction

fusion

arthroplasty

distal radioulnar joint

wrist arthroplasty