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Evidence-Based Medicine: Thumb Basal Joint Arthritis

Baker, Richard H. J. F.R.C.S.(Plast.); Al-Shukri, Jaber M.R.C.S.; Davis, Tim R. C. F.R.C.S.

Plastic and Reconstructive Surgery: January 2017 - Volume 139 - Issue 1 - p 256e-266e
doi: 10.1097/PRS.0000000000002858
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Learning Objectives: After studying this article, the participant should be able to: 1. Assess the patient’s history, clinical examination, and radiographic findings to diagnose and stage basilar joint arthritis. 2. Recall the cause and epidemiology of the condition. 3. Formulate a management plan including nonoperative management, and evaluate the candidacy for surgical treatment. 4. Understand the rationale for the various surgical options available (including rehabilitation), their potential complications, and the evidence related to outcomes.

Summary: This article has been prepared to accompany practice-based assessment with ongoing surgical education for the Maintenance of Certification for the American Board of Plastic Surgery. It is designed for clinicians to analyze and structure their care of a patient with arthritis of the trapeziometacarpal joint.

Nottingham, United Kingdom

From Queen’s Medical Centre, Nottingham University Hospitals NHS Trust.

Received for publication November 30, 2015; accepted June 1, 2016.

Disclosure:The authors have no financial interest to declare in relation to the content of this article.

Supplemental digital content is available for this article. Direct URL citations appear in the text; simply type the URL address into any Web browser to access this content. Clickable links to the material are provided in the HTML text of this article on the Journal’s website (www.PRSJournal.com).

Richard H. J. Baker, F.R.C.S.(Plast.), Wexham Park Hospital, Wexham, Slough, SL2 4HL, United Kingdom, richardbaker2@nhs.net

Copyright © 2016 by the American Society of Plastic Surgeons