Link to Post: www.naileditortho.com/cmcarthritis  Full video: https://youtu.be/_5cYS_PZknI  Approach Video: https://youtu.be/a_qPnpWZwjA  Enjoy this episode on 1st CMC arthritis as Dr. Robert Gray gives us a great talk!  Dr. Robert Gray completed his undergraduate and medical degrees at Brown University in Providence, RI as part of their combined Program in Liberal Medical Education.  He then matched into the combined Orthopaedic Surgery Residency Program at RUSH University Medical Center in Chicago, IL--a program consistently ranked in the top 10 nationwide.   Upon graduation, he was awarded the Gunnar Andersson, MD, PhD Award for best Chief Resident by his co-residents. He spent a year in Rochester, MN at Mayo Clinic completing a Fellowship in Hand and Microvascular Surgery.  There, he was trained in all aspects of general hand surgery, peripheral nerve surgery including brachial plexus reconstruction, and microsurgery including vascularized bone grafting. After completing training, he practiced and taught hand surgery at University of Miami's Miller School of Medicine in Miami, FL.  There, he focused primarily on complex trauma, reconstruction, and limb salvage and operated at Bascom Palmer hospital as well as Jackson Memorial Hospital.  He was also selected as best Attending Surgeon Teacher by the Orthopaedic Residents. He has now returned to Chicago's North Shore to bring the highest level of orthopaedic hand and microvascular surgical care to his patients here.  Practicing at NorthShore University HealthSystem. In this episode we talk about: CMC anatomy History Physical exam findings Classifications Non-op treatment Operative treatment Different implant types And BONUS- Surgical approach breakdown to 1st CMC joint with Dr. Gray