Standing, sitting, or lying supine
Anterior to the hand.
May I touch your hand? (or point to the demonstrated area).
Please bring your thumb across your palm and back (or demonstrate and this is much easier when you demonstrate).
With the patient relaxed, gently place the fingers around the articulation of the trapezium with the metacarpal bone of the thumb. Either guide or demonstrate motions and observe as the patient moves through thumb carpometacarpal flexion and extension.
VH - CMC flexion and extension
VH ñ CMC abduction and adduction
VH ñ CMC medial and lateral rotation
VH ñ CMC opposition and reposition
VH ñ CMC abduction and adduction
VH ñ CMC medial and lateral rotation
VH ñ CMC opposition and reposition