Osteoarthritis and Joint Diseases

Degenerative joint changes are among the most common conditions affecting the hand. They typically develop gradually and can lead to pain, loss of strength, and restricted mobility. Thanks to modern diagnostic and therapeutic options, both conservative and surgical treatment methods are available today.

Rhizarthrosis (Thumb Saddle Joint Osteoarthritis)

Rhizarthrosis — osteoarthritis of the thumb saddle joint — is one of the most common degenerative conditions of the hand and affects women in particular from middle age onward. Typical symptoms include pain when opening bottles, turning a key, or gripping firmly. As the condition progresses, loss of strength and restricted movement may also occur.

In the early stages, conservative treatment options such as splinting, hand therapy, or infiltration treatments are the primary focus. If these measures no longer provide sufficient relief, surgical procedures may be considered.

Alongside established reconstructive procedures, modern thumb saddle joint prostheses are increasingly being used today. The goal of treatment is to reduce pain and restore confident, strong use of the hand in everyday life. Post-treatment typically involves a combination of immobilization and specialized hand therapy. Many patients are able to use their hand again in daily life within a few weeks, though full rehabilitation usually takes several months.

Finger and Wrist Osteoarthritis

The small joints of the fingers and the wrist can also be affected by osteoarthritis. Typical symptoms include pain, swelling, restricted movement, and a progressive loss of gripping function. The most appropriate therapy depends, among other factors, on the affected joint, the extent of the degeneration, and the individual's symptoms. Treatment options range from conservative measures such as splinting or infiltrations to joint-preserving or reconstructive procedures. Innovative finger joint prostheses are also available for the proximal and middle finger joints.

Rheumatic and Metabolic Conditions

Inflammatory rheumatic conditions, as well as metabolic disorders such as gout, can affect the joints, tendons, and soft tissues of the hand, leading to pain, swelling, deformities, and restricted movement. Early diagnosis and interdisciplinary treatment are essential to prevent permanent damage to joints and soft tissues and to bring symptoms under control at an early stage. In addition to addressing the underlying condition, conservative or surgical measures may be required to relieve symptoms and support hand function in daily life. Close collaboration between the hand surgeon, hand physiotherapy, and rheumatology is key to achieving the best possible treatment outcomes.