The Thumb pp 143-155 | Cite as

Arthritis of the Carpometacarpal Joint

  • Seok-Whan Song
  • Joo-Yup Lee


Osteoarthritis of the carpometacarpal (CMC) joint of the thumb is very common due to inherent wide range of motion of the joint. As high compressive and shear forces occur across the thumb CMC joint during pinch motion, ligament instability can lead to the subsequent development of arthritic changes. Patients with CMC joint arthritis usually suffer pain and weakness of the thumb which significantly alter their hand functions. This review will briefly introduce the pathophysiology and clinical features of the CMC arthritis and will discuss the possible surgical options including ligament reconstruction, extension osteotomy, simple trapeziectomy, interposition arthroplasty, trapezium excision and ligament reconstruction procedures, arthrodesis, and prosthetic arthroplasty. Clinical outcomes after different surgical procedures are also presented.


Thumb Arthritis Carpometacarpal 


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Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  • Seok-Whan Song
    • 1
  • Joo-Yup Lee
    • 2
  1. 1.Department of Orthopedic SurgeryYeouido St. Mary’s Hospital, The Catholic University of KoreaSeoulSouth Korea
  2. 2.Department of Orthopedic SurgerySt. Paul’s Hospital, The Catholic University of KoreaSeoulSouth Korea

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