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How is CMC diagnosed?

Published in Medical Diagnosis 1 min read

CMC, or carpometacarpal joint arthritis, is diagnosed through a combination of physical examination and symptom evaluation. A key part of the physical exam is the CMC grind test.

The CMC Grind Test

  • Procedure: During this test, the doctor applies pressure through the thumb while simultaneously rotating it.
  • Positive Result: A positive test is indicated by the patient feeling pain and a crunching sensation in the joint.
  • Purpose: This test helps identify if there is arthritis at the base of the thumb.

Diagnosis of CMC Arthritis

Diagnostic Method Description
Physical Examination Includes the CMC grind test, as described above.
Symptom Evaluation The doctor also considers the patient’s reported symptoms, such as pain, stiffness, and reduced mobility.
Imaging X-rays are usually used to confirm diagnosis and assess the severity of the arthritis.


It's important to note that while the CMC grind test is a significant diagnostic tool, it is only part of the overall diagnostic process. A doctor will consider various factors to accurately diagnose CMC arthritis.

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