Case 17

45 yr, female, housewife, right hand dominant
Pain felt at left hand 1st CMC joint while grasping for 2 years
Mild pain relief after thumb spica splint, NSAIDs and corticosteroid injection
Crepitation felt with the movement of 1st CMC joint

Grind test (+)
Normal 1st web space
No Z-deformity
VAS score 5/10
ROM: IF joint flexion 90° , extension -10°, apparent MP joint laxity with hiperextension
Grip strength Right 18 kg, Left 15
Pinch strength Right 4 kg, Left 2 kg

1st CMC joint subluxation, Eaton-Littler Stage 2 

IMG 1

IMG 1

IMG 2

IMG 2

IMG 3

IMG 3

IMG 4

IMG 4