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Basal Joint Arthritis Of The Thumb

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Christian Veillette
Christian Veillette
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Basal Joint Arthritis of the Thumb Christian Veillette, MD, MSc, BSc(Hon) Orthopaedic Resident PGY-4 Upper Extremity Rounds 2004 St. Michael’s Hospital
Objectives ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Epidemiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Etiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Anatomy and Biomechanics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Anatomy and Biomechanics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Anatomy and Biomechanics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Role of palmar beak ligament ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Anatomy and Biomechanics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Anatomy ,[object Object],[object Object],[object Object],[object Object],[object Object]
Pathoanatomy ,[object Object],[object Object],[object Object],[object Object],[object Object]
Pathoanatomy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical Exam ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical Exam ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical Exam ,[object Object],[object Object],[object Object],[object Object],[object Object]
Imaging ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Classification - Eaton ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Eaton, Lane, Littler. J. Hand Surg. 9A 1984
Classification ,[object Object],[object Object],[object Object],[object Object],[object Object]
Classification ,[object Object],[object Object],[object Object],[object Object],[object Object]
Classification ,[object Object],[object Object],Exact risk and rate of progression cannot be precisely delineated. No longitudinal studies
Differential Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Non-operative Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Splinting ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Operative Indications ,[object Object],[object Object],[object Object],[object Object]
Principles of Surgery ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Procedures ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Algorithm JAAOS. 2000;8:314-323
Trapezium Excision ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Arthrodesis – TM Joint ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Arthrodesis – TM Joint ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Anchovy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Silicone Arthroplasty ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Silicone Arthroplasty ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Osteotomy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Volar Ligament Reconstruction ,[object Object],[object Object],[object Object],[object Object],[object Object]
Volar Ligament Reconstruction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Volar Ligament Reconstruction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Ligament Reconstruction with Tendon Interposition Arthroplasty (LRTI) ,[object Object],[object Object],[object Object],[object Object]
 
LRTI - Results 8% 95% excellent 3 21 Horn resection Double LRTI Baron,Eaton J. Hand Surg 1998 13% 95% excellent 9 24 Excised LRTI Tomaino,Pellegrini,Burton J. Hand Surg. 77A,1995 11% 92% excellent 2 24 Excised LRTI Burton,Pellegrini J. Hand Surg 1986 n/a 92% excellent 3 25 Partial LRTI Eaton,Glickel,Littler J.Hand Surg. 10A(5)1985 Migration/ Loss Height Results F/U (yr) n Trapezium Proced. Author
Double Interposition Arthroplasty ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PubMed ,[object Object],[object Object],[object Object],[object Object]
Ligament reconstruction with or without tendon interposition to treat primary thumb carpometacarpal osteoarthritis. A prospective randomized study. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Thumb carpometacarpal osteoarthritis: arthrodesis compared with ligament reconstruction and tendon interposition. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Recommendations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Basal Joint Arthritis Of The Thumb

  • 1. Basal Joint Arthritis of the Thumb Christian Veillette, MD, MSc, BSc(Hon) Orthopaedic Resident PGY-4 Upper Extremity Rounds 2004 St. Michael’s Hospital
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  • 41. LRTI - Results 8% 95% excellent 3 21 Horn resection Double LRTI Baron,Eaton J. Hand Surg 1998 13% 95% excellent 9 24 Excised LRTI Tomaino,Pellegrini,Burton J. Hand Surg. 77A,1995 11% 92% excellent 2 24 Excised LRTI Burton,Pellegrini J. Hand Surg 1986 n/a 92% excellent 3 25 Partial LRTI Eaton,Glickel,Littler J.Hand Surg. 10A(5)1985 Migration/ Loss Height Results F/U (yr) n Trapezium Proced. Author
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