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This book describes the anatomy and biomechanics of the trapeziometacarpal joint and explains the pathogenesis and treatment of trapeziometacarpal joint osteoarthritis, also known as rhizarthrosis. The discussion of treatment sets out both conservative and surgical approaches, clearly explaining the indications for the various options, as well as their advantages and disadvantages. The trapeziometacarpal joint is a phylogenetically recent articulation that permits the pinching movements of the index finger and thumb so important in daily activities. Degenerative disease involving the trapeziometacarpal joint is an important disabling condition that affects predominantly females over 50 years old. Although a number of treatments are now available, there is no single gold standard. Conservative treatments can control pain yet are unable to halt progression of the articular aging, while none of the surgical solutions employed when conservative treatments prove insufficient can be considered perfect. For example, use of a spacer can restore strength but does not always completely alleviate pain while arthroplasty eradicates pain within a few weeks but cannot restore strength. In thoroughly reviewing the available treatments, this book will enable the practitioner to select the best option for the individual patient.

Osteoarthritis. --- Osteoarthritis --- Degenerative arthritis --- Degenerative joint disease --- Joint disease, Degenerative --- OA (Disease) --- Old age arthritis --- Osteoarthrosis --- Wear and tear arthritis --- Arthritis --- Diagnosis. --- Orthopedics. --- Rheumatology. --- Internal medicine --- Connective tissues --- Joints --- Orthopaedics --- Orthopedia --- Surgery --- Diseases

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Management of Complications in Common Hand and Wrist Procedures: FESSH Instructional Course Book 2021 Operative complications can have a major impact on patients and surgeons. While most textbooks list them, few provide in-depth discussion on prevention, repercussions, and methods to resolve them. Management of Complications in Common Hand and Wrist Procedures: FESSH Instructional Course Book 2021, edited by renowned hand surgeons Brigitte van der Heijden, Jan-Ragnar Haugstvedt, and Henk Coert, features contributions from an impressive group of international hand surgery experts. This book provides in-depth, illustrated coverage on the prevention and management of complications that can occur during common hand and wrist approaches. It also provides insights on how meticulously performed hand therapy can help alleviate postsurgical problems, on the complex regional pain syndrome (CRPS), and on critical social issues. Key Highlights Firsthand clinical pearls, evidence-based interventions, and expert opinion for preventing and resolving complications from distinguished hand surgery experts The history of the catch-all term CRPS, why continued use of this term is a disservice to patients and medical progress, and an evidence-based argument on why it should be removed from the armamentarium and eventually the literature Managing expectations of patients with factitious disorders, the role of informed consent in preventing medicolegal issues, and the impact of complications on surgeons and patients This unique and insightful resource will be invaluable in the practice of plastic, orthopaedic, and trauma surgeons specializing in hand and wrist surgery.

Orthopaedics and Trauma Surgery. --- Plastic, Reconstructive and Cosmetic Surgery.