How can plastic surgeons help treat thumb arthritis?

Hand surgery is one of many components in plastic surgery training, 许多整形外科医生也将手部手术融入到他们的实践中, some focusing solely on hand surgery. 这种非常专业的手术可以治疗引起疼痛和削弱力量的疾病, function and flexibility of your wrist and fingers.

整形外科医生治疗的一种常见手部疾病是基底关节炎, 哪一种是拇指底骨关节炎引起的疼痛, stiffness and deformity.

What is basilar arthritis and who is affected?

Symptoms include localized pain or swelling, 难以打开大罐子或沉重的门和失去抓地力. Over time, 基底(腕掌)关节的运动可能会变得非常有限，以至于上一个关节(掌指关节)可能会过度伸展(伸展)以抓取较大的物体. Unfortunately, 基层保健医生可能不认识基底关节炎，也不了解其治疗方法.

基底动脉关节炎的危险因素包括有骨关节炎的家族史, increasing age and being female. Occupation, activity, 饮食和肥胖与基底动脉关节炎的发生关系不太明显. 近30%的女性在绝经期会患上拇指根部骨关节炎.

How is basilar arthritis treated?

When symptoms first start, 有几种有效的方法可以减少疼痛并增强局部肌肉. Topical use of capsaicin cream, warm wax baths, contrast baths with ice water and warm water, intermittent use of ibuprofen or acetaminophen, steroid injections, lidocaine patches, 夜间用拇指刺钉夹板和手部治疗都被发现是有帮助的.

How can surgery treat basilar arthritis?

如果上述非手术治疗失败，手术可能是一个合理的选择考虑. The goal of surgery is to decrease pain. 它可以通过失去运动或改变运动来实现这一点. 最常见的手术包括去除腕骨中的一块——梯形.

斜方肌就在拇指掌骨下方，它的形状使拇指可以向多个方向移动. When it becomes arthritic, motion becomes painful, 骨刺形成，分布在拇指上的力以一种不那么有效的方式定向.

The thumb is responsible for 40% of arm strength, 因此，拇指功能不佳极大地影响了十大网赌排行榜的手的工作方式. In early stages (without obvious arthritis), 可以考虑用局部组织固定拇指或重新定向骨骼. 一旦梯形发生关节炎改变，就需要进行其他手术.

Some surgeons only remove the trapezium, 另一些结合去除和额外的稳定程序. 局部组织可用于填补缺口，支撑拇指基部, 一些外科医生使用植入物来防止拇指接触舟状骨. 在许多备选方案之间没有发现显著差异, and it is important to discuss the options, risks and benefits with your surgeon.

斜方切除术后的恢复大约需要三个月. After surgery, a period of immobilization is required, 接着是一系列的运动锻炼和强化治疗.

Occasionally, 如果你的手腕有广泛的关节炎或者你有一只“高需求的手”," fusing bones together may provide more stability. Recovery may take longer with fusions, 运动可能更有限，风险和好处可能不同于上述选项. 手疗法通常在基底动脉关节炎手术后通过家庭锻炼计划和间歇性拜访治疗师检查进展情况来进行.

基底关节炎的手术治疗满意率很高. 如果你的拇指底部持续疼痛，限制了你的功能, perhaps it is time to consider a consultation with a board-certified plastic surgeon.