Case 15

40 yr, female, right hand dominant
Right wrist and 1st CMC joint pain for 1 year
Mild pain relief after intraarticular corticosteroid injection for the 1st CMC joint
No pain relief after NSAIDs, physical therapy
EMG: Mild carpal tunnel syndrome

Right thenar atrophy , Durkan (-) Tinel (-)
Pain located over TFCC and dorsum of lunate
Finkelstein (+)
Grind Test (+)
Watson shift test (+)
Pain over scapholunat interval and anatomical snuff box with palpation
Grip strength Right 30 kg, Left 30 kg
Pinch strength Right 4 kg Left 7 kg
VAS score 8
Quick DASH 40,9

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