Brief Report  |   December 2015
Postoperative Therapy for Chronic Thumb Carpometacarpal (CMC) Joint Dislocation
Author Affiliations
  • Ronit Wollstein, MD, is Associate Professor of Orthopedic Surgery, Technion School of Medicine, Haifa, Israel, and Adjunct Associate Professor of Plastic Surgery, Department of Plastic Surgery, University of Pittsburgh Medical School, Pittsburgh, PA; ronitwollstein@gmail.com
  • Dafna Michael, CHT, is Hand Therapist, Carmel Lady Davis Medical Center, Haifa, Israel
  • Hani Harel, CHT, is Director of Hand Therapy, Carmel Lady Davis Medical Center, Haifa, Israel
Article Information
Arthritis / Complementary/Alternative Approaches / Hand and Upper Extremity / Musculoskeletal Impairments / Splinting / Departments / Brief Report
Brief Report   |   December 2015
Postoperative Therapy for Chronic Thumb Carpometacarpal (CMC) Joint Dislocation
American Journal of Occupational Therapy, December 2015, Vol. 70, 7001350020p1-7001350020p4. doi:10.5014/ajot.2016.017210
American Journal of Occupational Therapy, December 2015, Vol. 70, 7001350020p1-7001350020p4. doi:10.5014/ajot.2016.017210
Abstract

Surgical arthroplasty of thumb carpometacarpal (CMC) joint osteoarthritis is commonly performed. Postoperative therapeutic protocols aim to improve range of motion and function of the revised thumb. We describe a case in which the thumb CMC joint had been chronically dislocated before surgery, with shortening of the soft-tissue dynamic and static stabilizers of the joint. The postoperative protocol addressed the soft tissues using splinting and exercises aimed at lengthening and strengthening these structures, with good results. It may be beneficial to evaluate soft-tissue tension and the pattern of thumb use after surgery for thumb CMC joint osteoarthritis to improve postoperative functional results.