Case 21

34 yr, female, right hand dominant
History of left wrist pain for 4 years
Symptoms started after heavy household chores (cleaning)
No pain relief after use of thumb spica splint and NSAIDs
Finger extension test (+)
Normal ROMs of the left wrist

Tenderness over scapholunate interval with palpation
Piano sign (+)
VAS Score 8
Quick DASH 61,4
Grip strength Right 14 kg Left 6 kg
Pinch strength Right 5,1 kg Left 2,5 kg

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