YOU ARE NOW CONNECTED TO THE TOXLINE (1981 FORWARD, NON-ROYALTY) FILE. ==THUMB PAIN== 25 AUTHOR Simmons BP AUTHOR Koris MJ TITLE Occupational Disorders of the Hand and Digits SOURCE Occupational Disorders of the Upper Extremity, L. H. Millender, D. S. Louis, and B. P. Simmons, Editors; Churchill Livingstone, New York, pages 105-115, 29 references, 1992 ABSTRACT Occupational disorders of the hand and digits were considered. Specific topics that were addressed included clinical picture, confirmatory tests, treatment, and prognosis of trigger finger/thumb stenosing tenosynovitis (locking of the digit in flexion with difficulty extending the proximal interphalangeal joint); osteoarthritis of the proximal interphalangeal joint (pain, deformity, stiffness, possible swelling, and Bouchard's nodes); osteoarthritis of the distal interphalangeal joint (Heberden's nodes); ligamentous/capsular injuries of the digital joints (tenderness, swelling, and slow rate of resolution); amputations (limited flexion, neuroma pain, cold intolerance, and tissue durability problems); Dupuytren's disease (nodule at the level of the distal palmar crease at the base of the ring finger); sesamoiditis of the thumb (tenderness of the sesamoids); fingertip injuries; and vibration syndrome (various degrees of tingling, numbness, and/or blanching of fingers). The selected disorders included those that most commonly caused workers to seek medical attention. 30 AUTHOR Eaton RG AUTHOR Nolan WB TITLE Diagnosis and Surgical Treatment of the Hand SOURCE Textbook of Performing Arts Medicine, R. T. Sataloff, A. Brandfonbrener, and R. Lederman, Editors; New York, Raven Press, Ltd., pages 205-227, 26 references, 1991 ABSTRACT Hand problems experienced by performing artists were discussed. Performance related hand problems were classified into two categories: acute/inflammatory and chronic/degenerative. The management and diagnosis of hand problems in performers was discussed. Recommendations for medical history taking included obtaining information on trauma history, changing practice schedules, and subjective quantitation and description of the pain by the patient. Possible courses of treatment involved rest, immobilization, and surgery. The diagnosis and treatment of specific acute/inflammatory problems was addressed in detail, including neural entrapment neuropathies such as carpal tunnel syndrome, cubital tunnel syndrome, tendon entrapment, tenosynovitis, deQuervain's disease, osteoarthritis, basal joint arthritis, distal interphalangeal joint osteoarthritis, and ligamentous laxity of the thumb. Surgical approaches for the treatment of such disorders was examined. The author concludes that the simple surgical procedures outlined could be helpful to many disabled artists. 6 AUTHOR Kuschner SH AUTHOR Lane CS TITLE Surgical treatment for osteoarthritis at the base of the thumb. SOURCE Am J Orthop 1996 Feb;25(2):91-100 ABSTRACT Osteoarthritis of the trapeziometacarpal joint can cause pain and disability. Surgical procedures for this problem include extra-articular ligamentous reconstruction, arthrodesis of the trapeziometacarpal joint, osteotomy of the thumb metacarpal, total joint arthroplasty, silicone interposition arthroplasty, and partial or complete resection of the trapezium. None of the operations results in a painless, stable thumb with good strength and motion in all cases. Disorders of the thumb metacarpophalangeal joint and the scaphotrapezio-trapezoid joints may accompany osteoarthritis of the trapeziometacarpal joint. 23 AUTHOR Pomerance JF TITLE Painful basal joint arthritis of the thumb. Part I: Anatomy, pathophysiology, and diagnosis. SOURCE Am J Orthop 1995 May;24(5):401-8 ABSTRACT Pathology at the base of the thumb can often be confusing. Numerous tendons, nerves, bones, and joints are all in close proximity and may cause pain and loss of function to the thumb. A systematic approach to this area, identifying abnormal anatomy or lesions of these structures, is presented along with the characteristic features of the examination of the pathologic basal joint. The importance of obtaining a careful medical history with regard to possible causes and symptoms is presented. Concurrent conditions, which are present in a large percentage of patients, are discussed. Radiographic views for diagnosis and staging will be demonstrated. 39 AUTHOR Armstrong AL AUTHOR Hunter JB AUTHOR Davis TR TITLE The prevalence of degenerative arthritis of the base of the thumb in post-menopausal women. SOURCE J Hand Surg [Br] 1994 Jun;19(3):340-1 ABSTRACT The prevalence of basal thumb osteoarthritis was assessed in 143 post-menopausal women. The radiological prevalences of isolated carpometacarpal and scapho-trapezial osteoarthritis were 25% and 2% respectively. The prevalence of combined carpometacarpal and scapho-trapezial osteoarthritis was 8%. 28% of women with isolated carpometacarpal osteoarthritis and 55% with combined carpometacarpal and scapho-trapezial osteoarthritis complained of basal thumb pain.