Dislocation of the Carpometacarpal Bone

Definition:
Displacement of the carpometacarpal bone; specifically disturbance or disarrangement of the normal relation of the bones entering into the formation of a joint.
Purchase 3 Phases

Symptoms
  • Pain in the thumb
  • Swelling in the thumb
  • Loss of ROM in the thumb
  • Instability in the thumb
  • Physical deformity- thumb not in correct alignment
Causes
  • Common in collision sports
  • Impact of the thumb against an object, person, ball, or piece of equipment
  • Osteoarthritis
Treatment
  • Period of immobilization
  • Progress to ROM and stretching exercises
  • Hand intrinsic muscle strengthening
  • Upper extremity strengthening
Dislocation of the Carpometacarpal Bone Phase I

Purchase Phase

  • Finger Flexor Stretch
  • Finger Extensor Stretch
  • Wrist Flexor Stretch At Wall
  • Wrist Extensor Stretch At Wall
  • Hand Circuit
  • Soft Tissue Mobilization To Hand Palm

Dislocation of the Carpometacarpal Bone Phase II

Purchase Phase

  • Putty Scales
  • Putty Gripping
  • Rice Hand Opening Closing
  • Static Grasp

Dislocation of the Carpometacarpal Bone Phase III

Purchase Phase

  • Ulnar Radial Deviation
  • Rice Wrist Flexion And Extension
  • Wrist Curls
  • Rice Wrist Pronation Supination
  • Rice Hand Opening Closing
  • Eccentric Wrist Flexion
  • Eccentric Wrist Extension