2021;86(6S Suppl 5):S622-S624. It may be higher or lower depending on where you live and what facility you use. [QxMD MEDLINE Link]. Therapy will include squeezing and manipulating special hand putty to strengthen your fingers and thumb. Ligament reconstruction is another option for treating arthritis in the thumb. Splints and special strengthening exercises for your hands, including use of therapy putty, may help. After some surgeries, the hand may be immobilized for months at nighttime to enhance recovery. Patients may return to work as early as one week after surgery. Complications from a sprained thumb can include: If youre experiencing symptoms of a thumb sprain such as pain and instability in your thumb joint, reach out to your healthcare provider. This can help avoid complications or healing problems you may not recognize. You may be able to use your hand right away, but you may have to take at least two weeks off work for a full recovery. Treatment for a mild thumb sprain can include: If youre still experiencing pain and swelling after two days of rest and at-home treatment, see your healthcare professional. 001) and runs (P < . doi:10.1097/SAP.0000000000002789. All Rights Reserved. Your susceptibility for basal joint arthritis depends in part upon inherited (genetic) factors. Clin Orthop Surg. (https://pubmed.ncbi.nlm.nih.gov/21536628/). Some people can continue to gain strength for one to two years. This is to avoid possible vomiting and accidental aspiration while undergoing anesthesia. (2022). This type of surgery, also called arthroplasty, is used in cases of severe hand arthritis. Jammed finger. How long does it take for thumb surgery to heal? Liposuction is a common procedure for targeted fat loss, but it comes with some potential risks. However, they will need to modify their work activities such as typing and using their thumb for forceful loading. Doctors have performed this surgery for decades, often improving symptoms and thumb function. Surgical dressings can be removed and patients can resume showering after . By Kristen Gasnick, PT, DPT A tendon transfer is a surgery that moves a working muscle and tendon to replace a non-working muscle and tendon. Whats the Difference Between Arthrodesis and Arthroplasty? Pain After surgery, your hand will be painful. During the procedure, the thumbs carpometacarpal joint is exposed through a 2-inch incision, and then the trapezium is removed in its entirety. After four weeks, your doctor will remove the K-wires and stitches. Your wrist and thumb may be immobilized for 3 to 6 weeks. You typically awake from sedation with nausea, but youre able to return home shortly afterward. The goal of physical therapy is to regain full range of motion in your thumb. There are also newer techniques that use a wire or suture as a sling to support your thumb. Warfarin therapy - management during invasive procedures and surgery. Kristen Gasnick, PT, DPT, is a medical writer and a physical therapist at Holy Name Medical Center in New Jersey. Youll get a thumb splint known as a spica splint, which attaches to your forearm. Rehabilitation may include strengthening exercises to regain strength. When these symptoms do not resolve with conservative treatments, a trapeziectomy may be recommended. Ruch explains that as people age, the ligaments that hold the thumb in place start to become lax and can slip out of the saddle joint, which results in a reduced ability to grasp and pinch and can lead to painful arthritis between the metacarpal and trapezium bones. It can also help restore movement in the affected fingers or thumb. Once the first month of recovery has passed, the K-wires and stitches will be removed. The scapholunate ligament is responsible for ensuring that the two bones - scaphoid and lunate - move in unison. 2023 Cedars-Sinai. After undergoing thumb arthritis surgery, you can expect a few things. Because patients can start moving the thumb within days, it also mitigates some of the negative consequences of prolonged immobilization, such as stiffness and muscle atrophy. . UCL repair surgery is an outpatient procedure and patients go home the same day. The doctors recommend a thumb joint surgery to put the bone back to its place. It is performed under general anesthesia and may last anywhere from 60 to 90 minutes. One more joint to consider is the one where the trapezium meets the other part of the wrist. Systematic comparison of ligament reconstruction with tendon interposition and suture-button suspensionplasty for trapeziometacarpal osteoarthritis. Those who experience chronic pain due to arthritis should consider the alternative treatment options. First, your hand will be immobilized for a few days. What Is the Effectiveness of Acromioclavicular (AC) Joint Surgery? The most commonly accepted factor for why this happens in women is that the angle at which the thumb sits upon the trapezium is much steeper than in men and is therefore more likely to slip out of the saddle joint, he says. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. To make an appointment, enquire, or find your closest location call us on 1300 762 227 or schedule an appointment online. The goal is to allow the body time to recover and heal itself. What can I expect after thumb arthritis surgery? The ligaments of the thumb metacarpal-phalangeal (MCP) joint are commonly torn (sprained) during sports or other injuries, and it gets the name Skier's Thumb from the common mechanism of falling on the thumb while holding a ski pole. Shin anticipates the technique will one day become the gold standard. This newer technique just obviates the need for a cast after surgery and can get the patient back to activity much sooner.". Trapezium arthroplasty is a minimally invasive surgical procedure in which a surgeon removes a small arthritic bone from the base of the thumb. Examine your thumb, and youll feel two bones, known as phalanges. A doctor may be able to correct breaks closer to the end of the thumb through external manipulation. Pistorio AL, et al. After surgery, joint replacement may give you better function and a more natural-looking thumb. Try avoiding activities and sports that involve using your hands for at least a month so your ligament has time to heal. Having bruising around the base of your thumb. Reconstruct the tendon so that it connects the metacarpal bone to the trapezium. This technique is less invasive and has a shorter operating and recovery time. Your surgeon will make an incision on the skin over your thumb joint. (2013). A thumb sprain is also a common skiing injury from falling with the ski pole still in your hand, which is why thumb sprains are sometimes called skiers thumb. Fiberwire is then placed through the incision and anchored at the base of the index finger; it is then brought out through the thumb metacarpal and tied there. Its one of eight bones that make up the complex structure of your wrist. How long does pain last after tendon surgery? Overview of Finger Joint Replacement (Arthroplasty), Overview of Radial Head Arthroplasty Procedure, More noticeable differences in appearance. Youll also want to find out how long you can expect the pain to last. With traditional surgery, the ligament is sutured, and the thumb is immobilized in a cast for four to six weeks. The likelihood of having complications from a thumb sprain depends on how severe it is and which ligament was affected. The wire will be removed around six weeks after the operation. How long does pain last after Trapeziectomy? By the start of the third month, youll begin a gradual return to normal daily activity. Healthline Media does not provide medical advice, diagnosis, or treatment. The surgeon then uses a tendon from the forearm to reconstruct the supporting ligaments in the base of the thumb. Your surgeon will close your incision with stitches . The flexor carpi radialis is passed through a hole that is drilled in the thumbs metacarpal bone and is placed in the space that was formerly occupied by the trapezium. This often happens from falling on your outstretched hand. Though the surgery is successful in stabilizing the thumb, it is followed by a minimum six-month recovery time before the patient regains their strength and grasp, Ruch says. Healthcare professionals use a grading system to classify the severity of sprains. After your trapeziectomy, you will be brought to a recovery room. It can also have arthritis along with the CMC joint. Extensor tendons, located on the back of the hand and fingers, allow you to straighten your fingers and thumb. The gracilis tendon, a lesser groin tendon that inserts in the front of the knee. The putty comes in graduated resistance levels to use as your strength increases. These protrude from the skin, and are usually removed about four weeks after surgery. A newer surgical technique for patients with thumb arthritis involving fiberwire ligament reconstruction halves rehabilitation and immobilization time and significantly lowers the complication rate compared to other procedures, says David S. Ruch,MD, Duke chief of hand surgery. This technique involves removing the trapezium and temporarily installing a wire (called a Kirschner wire or K-wire) to immobilize your thumb. What to expect when undergoing surgery for thumb arthritis. You will likely undergo rehabilitation for about six months, but the length of time will depend on the severity of your injury. This splint helps protect the surgical repair and lessens swelling. Complications following surgery on the basal joint of the thumb [Abstract]. The surgeon removes damaged joint surfaces and replaces them with cushion tissue. Following surgery, it is crucial that you follow the instructions of your doctor to avoid scarring and minimize the risk of tendon rupture. A 2023 study observed better long-term improvement in symptoms after SSA compared to LRTI. Ligament reconstruction and tendon interposition for thumb basal arthritis. With traditional surgery, the ligament is sutured, and the thumb is immobilized in a cast for four to six weeks. Surgery involves reconnecting the ligament to the bone. Your hand therapist or surgeon will be able to give you a more detailed estimate of your likely recovery time. Grade 3: A grade 3 thumb sprain is a severe sprain. Whether the wrist is broken or ligaments are injured usually depends on many things, such as how strong your bones are, how the wrist is positioned during the injury, and how much force is involved. Policy. After trapeziectomy, patients can return to normal daily activities gradually. Talk with a specialized hand surgeon about which option may be best for you. 3 in the nation by U.S. News & World Report. The length of recovery for a sprained thumb depends on the severity of your sprain. He or she will also repair any injury to the tissues around it. A direct blow to the tip of a finger can cause tendon or ligament damage, as well as fracture or dislocation of the bones. . Following surgery, you should expect some discomfort and swelling. Use metal retractors to hold open the incision. "I thought there might be a way to adapt it for UCL tears in thumbs, a very common injury that can sideline athletes for almost a whole season," says the hand specialist. A thumb strain involves an injury to a muscle or a tendon, which is a tissue that connects muscle to bone. To perform this surgery, a surgeon can use either a ligament from your body to cushion the joint or insert metal, silicone, or plastic prostheses. Surgery to replace your thumb joint could involve a tendon transfer or an artificial replacement. The technical name for arthritis of the thumb is basal joint arthritis. Its called that because its shaped like a trapezoid. The CMC is the joint most affected in thumb arthritis. CALL 1300 762 227. Rehabilitation may be recommended to increase the strength and function of the hand. Last reviewed by a Cleveland Clinic medical professional on 12/23/2021. Basal joint arthritis affects women over 50 years of age 10 to 20 times more often than men. Many injuries are work-related. This surgery, which restores a normal range of motion in the thumb, prevents the disease from progressing. Plus, we offer tips on how to live healthfully and make the most of your doctor visits. Chemical peels can produce a range of results, depending on your skin type and the type of peel you choose. In most cases, the patient will be given pain medications to reduce inflammation and swelling. Regional axillary block is the preferred form of anesthetic for LRTI. Tendons are tough cords of tissue that connect muscles to bones. 4 to 6 weeks: Physical therapy begins. If the ligament is completely torn, surgery may be needed to regain normal stability. See additional information. The trapezium is a nugget-shaped bone in the wrist situated immediately beneath the long bone of the thumb, called the metacarpal bone. Treatment for thumb sprains often involves rest, using a splint and physical therapy. Physical therapy for thumb arthritis begins by focusing on pain and swelling control. A proper evaluation is required. Cookies collect information about your preferences and your devices and are used to make the site work as you expect it to, to understand how you interact with the site, and to show advertisements that are targeted to your interests. The torn thumb ligament is repaired or reconstructed during surgery. This procedure is an excellent choice for people who have arthritis in the thumb. "Athletes particularly dislike being in casts, and on top of that they can't return to play for sometimes up to 10-12 weeks," Shin notes. Decreased range of motion in your thumb joint. 2 to 4 weeks: The cast and stitches are removed, and you'll be given a plastic splint to stabilize the wrist. Lessons learned: Trapeziectomy and suture suspension arthroplasty for thumb carpometacarpal osteoarthritis. Thumb Ulnar Collateral Ligament Repair with Suture Tape Augmentation. Having a lump in your thumb. After surgery, a splint is applied that youll wear for at least the first week. But, complex surgery for more severe . Collateral Ligament Injuries of the Thumb Metacarpophalangeal Joint. To do this, he or she removes a small bone in the wrist near the base of the thumb and passes a nearby tendon through the hole in the thumbs metacarpal bone. Timeline for Hand Surgery Recovery The amount of time it will take you to heal after hand surgery will vary based on the type of surgery you have and the severity of your condition. All rights reserved. 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event, (https://www.niams.nih.gov/health-topics/sprains-and-strains), (https://orthoinfo.aaos.org/en/diseases--conditions/sprained-thumb/). Following surgery, the thumb is padded and a splint is applied to promote healing. Or, you may keep the splint alone for a full month after surgery. The physician may prescribe a foam wrist elevation pillow or other devices to do this. The third joint, where the metacarpal (hand) bone meets the trapezium bone of your wrist, is called the carpometacarpal (CMC) joint. People in white collar and executive positions may be able to return to work within a week. The ligaments that hold the joint together can also loosen, causing it to slip. They also use synthetic spacers to sit between the bones. During this surgery, the surgeon cuts through a ligament in the wrist to make more room for nerves and tendons to pass through. Cost analysis and national trends in the treatment of thumb basal arthritis: comparing ligament reconstruction/tendon interposition and trapeziectomy/hematoma distraction arthroplasty. You could injure underlying structures, sometimes permanently, like: blood vessels. Some patients will return to work immediately after surgery, while others will need more time. Arthroplasty and arthroscopy are two procedures used to fix problems with your joints. Learn all about total and partial elbow arthroplasty, the difference between linked and unlinked replacements, and what to expect during recovery. Some ligamnets will only heal properly if treated with surgery. We avoid using tertiary references. A hole is drilled in the metacarpal bone of the thumb and the free end of the FCR tendon is passed through it and sewn back onto itself. "Some people are more comfortable with conventional surgery, and that's fine too. It runs the length of the arm beginning in the axilla, and its branches end in the fingers. Symptoms of a grade 1 (mild) thumb sprain can include: In some cases, people who have a mild thumb sprain dont experience pain at the time of the injury. This also will be determined by your physician, based on an individual basis. "A thumb UCL repaired with an internal brace is several times stronger than the standard repair with suture alone," Shin says. If they use a prosthesis, its called a total joint replacement. At the end of the week, you may be transferred to a cast. The anchovy is placed in the CMC joint to give the cushioning that the arthritic cartilage used to provide. We do not endorse non-Cleveland Clinic products or services. Experiencing swelling in your thumb or at the base of it. This is to promote healing. A torn ligament in the thumb usually affects the ulnar collateral ligament, which is used to pinch and grasp 3 4. 2023 Healthline Media LLC. There are generally three different grades, or levels, of sprains. The second joint, where the second bone of the thumb meets the bone of the hand (metacarpal), is called the metacarpophalangeal (MP) joint. If you injured your thumb and are still experiencing pain after two days of resting and icing it, be sure to contact your healthcare provider. A thumb sprain (sometimes called skiers thumb or gamekeepers thumb) happens when a ligament (tissue that connects bones at a joint) in your thumb stretches too much or tears.
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