The Upper Hand: Chuck & Chris Talk Hand Surgery cover image

Chuck, Chris, and Macy Discuss the Thumb CMC Joint, Part 2

The Upper Hand: Chuck & Chris Talk Hand Surgery

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Optimal Management of Thumb CMC Arthritis

This chapter explores the effectiveness of hand orthosis and therapy in delaying surgery for CMC arthritis, with insights from a Rotterdam study highlighting low surgery rates post-treatment. The speakers share their experiences and patient conversion rates to surgery, discussing the impact of injections and patient fatigue on surgical decisions. Additionally, they delve into post-operative strategies, including internal brace reconstruction for male patients and LRTI for female patients, emphasizing the importance of conservative mobilization and realistic recovery timelines.

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