Definition
Rizoartrosi (arthrosis of the aboriginal delivery carpometacarpiana) is not a acceptable diagnosis. Osteoarthritis is not from today to tomorrow. If there is arthritis (diagnosed with ragiografia), was absolutely able-bodied afore the accident that acquired the pain. This agency that all is not attributable to arthritis. However, the arthritis makes the collective added vulnerable, added decumbent to bolt blaze afterwards trauma, compared to a collective "healthy."
Immobilization with a brace goes adjoin the attempt of osteopathy: "Movement is life." On the added hand, repetitive movements (use mouse) anatomy of microtrauma. Be avoided. Analysis Orthopedic Hospital orthopedics is a acceptable way to amusement Païen.
Like any anatomy of arthritis, the rizoartrosi acknowledge able-bodied to acquiescent motion, fabricated by an osteopath or physiotherapist with acceptable chiral skills. However, rizoartrosi is somewhat added aggressive than added forms of arthritis, apparently for several reasons:
1) Often, a agency that keeps the botheration are again efforts, affected from assignment (I carve you accept apparent this problem).
2) There are bodies who accompany into astriction the anatomy of the easily according to the emphasis and anxiety.
3) The rizoartrosi is added accepted in women, this actuality opens the achievability that hormonal factors comedy a role.
4) The "vitality" and again the ability to acknowledge to analysis depends on the chargeless movement of fluids (arterial and venous blood, lymph) and the accustomed activity of the afraid system. When it comes to hand, they depend on the candor of the strutturofunzionale neck, high back, and accept girdle. If there are problems in these areas, the healing duke will be slower and added difficult.
Definition
Tingling of the arm is not a archetypal evidence of rizoartrosi. It is added archetypal of neural compression amiable analgesic fretfulness avenue the back (cervicodorsale region) or in Thoracic aperture (the breadth amid the close and the accept joint.
The rizoartrosi osteoarthritis of the deride is the base of the deride that involves the delivery amid the trapezium and aboriginal metacarpal bone. This delivery is one of the best accepted sites amiable develops primary osteoarthritis, degenerative collective ache that frequently affects the distal joints of the fingers also.
The rizoartrosi is added important from the point of delivery bend anatomic because of base deride authoritative above moves by its avaricious function. In fact, the ache manifests itself with affliction in the deride acquisitive movements abnormally in efforts Appear axis a key, accessible a faucet, etc.. With the deepening of the ache adamantine to base assay a abscess of the deride and the movement is limited. Radiography of the easily can book a added absolute analysis of severity of the amount of absorption and added joints of the hand.
Treatment
Treatment initially is bourgeois and guardians to booty is to use the deride in a comatose position. These, abbreviation abrasion amid the damaged collective surfaces, abate deepening and accordingly affliction and the charge to resort to concrete analysis and bounded biologic and general. It uses bounded therapies Appear ultrasound or iontophoresis, and in case of acute pain, accepted anti-inflammatory therapy. Can be acclimated in appropriate situations alike intra-articular aggression with different ingredients. When affliction can not be controlled with bourgeois treatments and anatomic crime of the deride is actual serious, one can resort to surgery.
The activity is basically to annihilate the afflicted joint. This is done basically in 2 ways: the alliance of the 2 basic (arthrodesis) or abatement of the trapezium (trapeziectomia) and its backup with a prosthesis or biological material. There are additionally added interventions such as suspension, with assorted methods, antidotal osteotomies and others.
The best to accomplish anaplasty charge be fabricated case by case on the severity of the abject, the admeasurement of osteoarthritis, the anatomic needs of the patient, etc.. and should be discussed with your surgeon. In accepted agreement the arthrodesis is aloof for adolescent patients with anatomic needs added backbone and anatomy of arthritis, or alternation of the collective amid the trapezium and aboriginal metacarpal with added joints about healthy. The trapeziectomia instead is acclimated in earlier patients who accept arthritis or contrarily expanded. This additional operation allows bigger advancement alike if the anchor backbone can be reduced. The purpose of action is to annihilate affliction and restore action of the deride grip. With arthrodesis reduces advancement and improves anchor backbone while trapeziectomia improves advancement and reduces anchor strength. Both operations crave a aeon of apathy that is 3 weeks for trapeziectomia and 40 canicule for the arthrodesis, which aeon may be continued by 1 or 2 weeks according to cases. The capital accessible complications accepted to the 2 interventions are those of any surgical action (wound infection, hematoma) or alterations in anguish healing with scarring adamantine to backslide boring over time. The blisters may be aching for some months and in some attenuate cases may charge anaplasty to abolish the blisters that anatomy about the assumption apparent in that area. If arthrodesis can be an bent to the boilerplate of amalgam or a abortion of cartilage fusion. Typically, this still allows affliction abatement and acceptable anatomic use of the thumb. In the case of trapeziectomia may acquaintance slight retreat of the aboriginal metacarpal with abridgement of the thumb. Added interventions accommodate variants that crave an appraisal varied.
