The thumb can move up and down, in and out, and rotate slightly to touch the fingers. The CMC joint is the carpometacarpal joint at the base of the thumb that attaches to the joint at the wrist. A full return to all activities, however, may take longer. 4. Dr. Yueh did her undergraduate work at Harvard University in Cambridge where she graduated magna cum laude. The most common early complaint involves difficulty opening jars or bottle screwcaps. University of Wisconsin System, University of Wisconsin School of Medicine and Public Health, Evolving Trends in Surgery of the Soft Palate for Obstructive Sleep Apnea, our UW Health webpage about hand and microsurgery. would love to get some insight from those who have had it regarding possibly having both done at same time, the process, recovering, therapy, how long you wear cast, splint and when you can go back to work/computer, driving etc I would appreciate any insight and advise you … Department of Surgery Advanced Practice Providers Honored, Dr. Amy Fiedler’s Presidential Leadership Scholars Project Highlighted, Madison Health Systems Enact Anti-Discrimination Policies to Protect Caregivers. You must keep the dressing CLEAN and DRY to avoid risk of infection and other wound healing complications. Thumb surgery helps to restore the thumb’s normal range of motion and helps to reduce pain in the thumb and hand. After fusing, the joint won’t move, and your pain should go away. Once you are awake and sufficiently independent, you will return home and start your basal joint surgery recovery. If this movement produces a grinding sound, or causes pain or a gritty feeling, the cartilage has likely worn down, and the bones are rubbing against each other.Imaging techniques, usually X-rays, can reveal signs of th… After surgery, you will be discharged home in a splint. Under the guidance of an experienced hand therapist, you will start with light range-of-motion exercises to restore mobility to your thumb joint. You will wear this splint for 4 weeks. The goal of the surgery is to either cushion the joint or keep it from moving and causing pain. After surgery, your thumb will be bandaged with a well-padded dressing and a splint for support. Full recovery of normal activities may require up to 6 months. Once the joint is accessed the damaged bone and tissue is removed and a ligament graft or another type of spacer is attached to relieve pressure within the joint. Don’t scratch your hand before your dressings are removed, as inserting an object under your cast, splint or bandage increases your risk of infection. This should not be removed. For more information about surgery for basal joint arthritis, or to contact us, visit our UW Health webpage about hand and microsurgery. Immediately post op the therapist will start range of motion of all thumb and wrist joints EXCEPT the basal joint or thumb … “I’ve had patients actually go golfing three weeks after surgery. I am not back to my old self at all and wonder what to expect in the future. [QUOTE=linweid;3913492]I had basal thumb surgery almost one year ago (April 2008). Hi everyone, I am new to this board, and i am seriously considering LRTI basal thumb surgery. Arthritis at the base of the thumb is one of the most common locations and can be very disabling. In this outpatient procedure, the surgeon excises the trapezium and transfers a tendon from the forearm to the trapezial space. The operation generally lasts no longer than an hour and most patients are allowed to go home the same day. Once the operation is scheduled, your surgeon will give you a list of instructions to follow that will help your surgery and recovery go smoothly. After surgery to remove a large basal or squamous cell skin cancer, it may not be possible to stretch the nearby skin enough to stitch the edges of the wound together. Two weeks after surgery, you will have your first post-operative visit. 2012 Feb 3. With a top Bergen County hand surgeon, you can expect your hands to function better after hand surgery, with little to no pain, improved range of motion or nerve function, depending upon the reason for, and goals of, your surgery. These injuries can cause: Weakness in the ligaments (tough tissue) that attach bone to bone Lack of pain with resisted thumb extension (Hitchhiker’s test) helps rule out DeQuervain’s (first dorsal compartment) tenosynovitis, another common cause of radial-sided thumb pain. Begin finger bending and straightening exercises right after surgery. Do rest, drink plenty of water and eat healthy food. Avoid pinching or direct pressure on your thumb. Surgery takes typically 1 hour. Most studies report high patient satisfaction r… Patients often present with pain, instability, or weakness associated with pinch motions or activities where the thumb bears weight. The majority of patients return to most activities by 3 months after surgery. • Keep the dressing on until it is taken off by your surgeon or the stitches have been removed. In this simple, somewhat controversial procedure, surgeons remove the trapezium bone in the wrist and, with a wire, temporarily immobilize the thumb. Privacy Policy | Terms of Service, Cohen/Winters Aesthetic & Reconstructive Surgeons, Aesthetic & Reconstructive Surgery | 201-487-3400. It’s important to not push yourself too hard. Patients return to normal activities gradually. Your hand will need time and energy to heal, so be patient and gentle with it. During CMC thumb surgery your doctor will either fuse the CMC joint or add a spacer between the joints in the thumb to reduce arthritic pain. I was in 3 different casts for a total of 10 weeks. Three to 4 weeks after the procedure, the cast is removed and active range-of-motion therapy begins. Basal joint surgery recovery generally consists of joint immobilization in the beginning and physical therapy toward the end. At your first post-operative consultation, which usually occurs about a week or two after surgery, you will have the dressings removed from your hand. Use your hand to do daily activities. The “grind test,” in which the physician gently grasps the patient’s thumb and grinds it like a peppermill, elicits pain in patients with basal joint arthritis. This operation is called total joint reconstruction and is the most common surgical procedure performed for basal joint arthritis. Some procedures include joint fusion, osteotomy (where the joint is repositioned), trapeziectomy (where the joint is removed), or joint replacement. Physical therapy or hand and thumb exercises may be prescribed when the cast is removed, continuing for 1 or 2 more months. Basal joint arthritis is usually seen in patients aged 50 to 70, and occurs more frequently in women than men. Strengthening begins around 6 to 8 weeks after surgery. Overall, all procedures include the surgeon making an incision at the base of the thumb to access the joint.
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