Is Surgery the Answer to Thumb Pain and Rhizarthrosis?

Thumb pain can be frustrating, especially when it doesn’t go away. If you’ve been dealing with thumb discomfort or struggling with something called rhizarthrosis — a type of arthritis in the thumb joint — you may be wondering what options are available to you. This article explores one important approach: surgical treatment for thumb arthritis based on a scientific study.

Here are three key takeaways:

  • Surgery may be recommended if other treatments stop helping.
  • Your thumb joint’s stability depends a lot on something called a ligament.
  • A new surgical method shows promising results compared to older ones.

What is Thumb Arthritis?

Thumb arthritis happens when the protective cartilage on the bones in your thumb joint wears down. This can cause stiffness, pain, and trouble moving your thumb. Rhizarthrosis is the medical name for arthritis affecting the thumb saddle joint — a joint that lets your thumb move in many directions. Over time, the thumb joint can weaken, making everyday tasks more difficult.

What Did the Study Find?

This study specifically looked at how surgery could help people with rhizarthrosis when other treatments, like medications or splints, no longer work. The researchers highlighted a key ligament — the first intercarpal ligament — as a major player in this type of arthritis. A ligament is a stretchy band of tissue that helps connect bones together and keep joints stable.

Here is where it gets interesting:

The study compared two different surgeries for treating thumb arthritis:

  • Trapezectomy: This surgery removes a small bone called the trapezium that is part of the thumb joint. Some doctors place a piece of tendon, a body tissue that connects muscle to bone, in its place to improve symptoms. However, this method can leave the thumb shorter and weaker over time. It can also limit how much your thumb moves.
  • A new technique: This method focuses on repairing the connection between two specific thumb bones (the first and second metacarpals) after removing the trapezium. In 12 out of 20 thumbs, the new method prevented the thumb bones from shifting out of place after the surgery, which is a big win!

Let us look closer. The researchers found that the new method kept the thumb steadier and may help people avoid the issues related to shortening, weakness, and movement problems.

Surgical Method Prevents Thumb Shortening? Improves Symptoms?
Trapezectomy No Yes
New Ligament Technique Yes Yes

Should You Consider Surgery?

If you have rhizarthrosis and your symptoms keep getting worse even with non-surgical treatment, surgery might help. The study suggests that surgical options like ligament restoration can improve stability and reduce discomfort.

Every hand is unique. Always talk to your doctor about the treatment that’s best for you. The goal is to give you a stronger, functional, and pain-free thumb.

FAQ

Q: What is rhizarthrosis?

A: Rhizarthrosis is arthritis that affects the base of your thumb. It can make your thumb painful, stiff, and hard to move.

Q: What is a trapezium?

A: The trapezium is a tiny bone in your wrist that’s part of the thumb joint. Removal of this bone is sometimes done during surgery for thumb arthritis.

Q: Does surgery fix thumb arthritis permanently?

A: Surgery can reduce symptoms and improve function, but like any procedure, results may vary. Not everyone will have the same experience.

Conclusion

Thumb pain and arthritis can feel isolating, but you’re not alone. Studies like this one show that surgical options can make a difference, especially when other treatments stop helping. If you’re curious about surgery for your thumb pain, start by discussing your options with your doctor.

This site is dedicated to simplifying science and exploring solutions for thumb pain and rhizarthrosis. We search through trusted studies so you can stay informed. Be sure to check out more of our content to find answers to your questions!

Disclaimer

This article is for educational purposes only and does not replace professional medical advice. Please consult your doctor if you have concerns about your health.

Study Citation

Martini, A.K. (1985). Surgical treatment of arthritis of the thumb saddle joint.