case_images: PMC5315005_01
case_images: Radiographs of the patient who is described in Case #1, and who is patient #2 in Table 1. Radiograph in (A) shows the right first metacarpal trapezial joint pre-operatively and (B) shows the pan-osteoarthritis also on the left side.
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case_images: PMC5315005_01_icrp_a_1278171_f0001_c.jpg
case_images: F0001
case_images: Two previous hand surgery consultations both had suggested surgical treatment, either with a CMC fusion or resection-implant arthroplasty based upon her radiographic appearance (Figure 1).
case_images: Intra-operative views of same patient as in Figure 1. (A) The innervation to be resected. (B) After osteophyte removal.
case_images: icrp_a_1278171_f0002_c.jpg
case_images: PMC5315005_01_icrp_a_1278171_f0002_c.jpg
case_images: F0002
case_images: The intra-operative views from the surgery on the right CMC are given in Figure 2.
case_images: Clinical views of same patient as in Figure 1. Five years following bilateral volar CMC denervation, piano playing is possible without volar CMC joint pain.
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case_images: PMC5315005_01_icrp_a_1278171_f0003_c.jpg
case_images: F0003
case_images: Post-operatively, she was able to resume her medical practice and musical instruments playing without the previous pain (Figure 3).
case_images: PMC5315005_02
case_images: (A) Intra-operative view of the innervation to the left CMC joint and (B) a clinical bilateral view of the patient pinching without pain five years following the bilateral partial CMC joint denervation. This is the patient described in Case #2, who is patient #3 in Table 1.
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case_images: PMC5315005_02_icrp_a_1278171_f0004_c.jpg
case_images: F0004
case_images: Figure 4 demonstrates the intra-operative view of the nerve prior to resection, and a five-year follow up of him pinching bilaterally without pain.
case_images: Radiographs of the same patient described in Figure 4. (A) Pre-operative view of the left CMC joint and (B) five year post-operative view of the same joint.
case_images: icrp_a_1278171_f0005_c.jpg
case_images: PMC5315005_02_icrp_a_1278171_f0005_c.jpg
case_images: F0005
case_images: The radiographic comparison of the right CMC joint pre-op and five years post-operatively is seen in Figure 5.