Origin Country: Pakistan. Made by Mid-East. Rosewood thumb piano, 3" x 5", 8 steel keys. The thumb piano originates in Africa. It is also known as the mbira or likembe. The metal keys are mounted on a wooden box that acts as the resonating chamber.
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Background Thumb arthritis at the carpometacarpal CMC joint is one of the most common sites of arthritis, especially in women. Thumb arthroplasty is an effective method of relieving pain and improving function. Materials and Methods Qualitative and quantitative outcomes were assessed clinically and radiographically in 58 patients 66 thumbs with thumb basal joint arthritis limited to the trapeziometacarpal joint, treated with hemiresection arthroplasty of the trapezium, flexor carpi radialis FCR ligament reconstruction, and allograft costochondral interposition graft.