Sprains and Strain of the Carpometacarpal Joint

Definition:
An injury to the carpometacarpal joint when the joint is carried through a range of motion greater than normal, but without dislocation or fracture; or an injury resulting from tensile force.
Purchase 3 Phases

Symptoms
  • Pain in the wrist/hand
  • Swelling in the wrist/hand
  • Point tender to the carpometacarpal joint
  • Weakness in the wrist/hand
  • Pain with grasping
  • Loss of ROM in the wrist/hand
Causes
  • Overuse
  • Repetitive wrist/hand movements
  • Fall
  • Direct blow to hand
Treatment
  • ROM and stretching
  • Soft tissue massage
  • Hand intrinsic muscle strengthening
  • Upper extremity strengthening
  • Posture program
Sprains and Strain of the Carpometacarpal Joint 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

Sprains and Strain of the Carpometacarpal Joint Phase II

Purchase Phase

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

Sprains and Strain of the Carpometacarpal Joint 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