A procedure for thumb pain involves creating a pseudoarthrosis by removing bone and inserting rolled tendon to relieve pain and restore function.

“but it's basically doing a reconstruction using your own tissue and that's what's super cool which we didn't mention is because of the way our limbs evolved we have so much protective redundancy we have so many tendons like all of the flexor tendons that Flex the fingers also Flex the wrist and give us strength just like you were talking about with the pull-ups well you have wrist flexors that only attach right here that also give you that flexion and we and those all are housed in the forearm and then you have the extensors that do that and then you have some that are just we have multiple tendons that pull the thumb out they do subtle differences but we can use those and we do use those to transfer and to use them as tendon grafts”

“does that mean you're not actually addressing the surface of the saddle joint which is arthritic in this procedure Point you're not recreating some artificial joint what we're creating is a pseudoarthrosis we stabilize it get it stabilized back on top in my case I take a little bit of the bone off to create a space and then I roll up the rest of tendon and put it in there and that relieves the pain and restores function yes”