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What is the thumb IP joint and what problems occur? The IP joint is the end joint of the thumb. It is shaped as a double dome side by side on the hand side of the joint and two side by side matching shallow curves on the nail side. This allows mobility in bending and straightening but stability in sideways and twisting movements.
The carpometacarpal (CMC) joint is at the base of the thumb, where the thumb attaches to the hand. Like arthritis in the hip or knee, the pain comes when the cartilage wears away so much that bone rubs against bone. As with OA of the knee and hip, CMC OA is more common in women than men. By age 80, up to 80 percent of women are affected.