Which physical findings suggest arthrosis in patients with ulnar-sided wrist pain?

Updated: Nov 22, 2019
  • Author: David M Lichtman, MD; Chief Editor: Harris Gellman, MD  more...
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Answer

Answer

To identify the fourth and fifth CMC joints, palpate the metacarpal shaft, proceeding proximally to the metacarpal base. The metacarpal base is slightly more prominent than the shaft. Identify the fourth and fifth CMC joints, noting any tenderness or crepitus. Stress loading the fourth and fifth metacarpals with dorsal to volar rocking can reproduce symptoms that are consistent with arthrosis. An additional test is to apply rotational stress to the carpus, which often elicits pain in individuals with arthrosis.


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