"Rule of Thumb" in Conservative and Surgical Management for Degenerative Arthritis of the Thumb CMC Joint
Thumb CMC joint degenerative arthritis can be very debilitating. Symptom management typically begins with conservative treatment with a focus on patient education and therapy modalities. This course will present various orthotic options, the role of intrinsic muscle strengthening, modification of activities and adaptive devices that can provide symptom relief. We will discuss common problems that can be associated with or coexist with thumb CMC arthritis and various methods to address these problems. In addition, we will discuss surgical treatment options, including the evidence behind surgical treatment. We will review potential pitfalls and how to avoid them. Rehabilitation following surgery will also be reviewed. Finally, we will review reasons for persistent symptoms following surgery as well as surgical complications.
The attendee will be able to identify clinical and radiographic findings of degenerative arthritis of the thumb CMC joint.
The attendee will be able to describe different surgical techniques for reconstruction of the thumb CMC joint affected with degenerative arthritis.
The attendee will demonstrate provocative maneuvers in the physical examination to identify thumb CMC arthritis.
The attendee will describe potential reasons for persistent symptoms following nonoperative and operative treatment of degenerative arthritis of the thumb CMC joint.
The audience will gain an understanding of the non-operative treatment interventions and their efficacy, including the indications for different orthoses.
The audience will be familiarized with the post-operative rehabilitation following surgical reconstruction of the thumb CMC joint.