Case 20

58 yr, female,housewife, right hand dominant
Pain at 1st CMC joint bilaterally while grasping objects
Pain aggravated in last 6 months
Left thumb trigger finger

Grind test (+) Tinel (-)
No Z-deformity
Normal ROMs of wrist and fingers
VAS Score Right 6, Left 6
Quick DASH Right 31.8, Left 38,6
Grip strength Right 18 kg Left 16 kg
Pinch strength Right 2,5 kg Left 4,8 kg

IMG 1

IMG 1

IMG 2

IMG 2

IMG 3

IMG 3

IMG 4

IMG 4

IMG 5

IMG 5

IMG 6

IMG 6

IMG 7

IMG 7

IMG 8

IMG 8