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Musculoskeletal problems of the wrist and hand classification

Introduction

Classification

Classification

Traumatic Injury

  • Fracture
    • Immediate severe pain and swelling
    • Colle’s fracture
      • Fracture of distal radius; most common, easily seen on X-ray
    • Scaphoid Fracture
      • May require special X-ray views to visualize
  • Ligament Rupture or Tear
  • Tendon Injury

Nontraumatic

  • Inflammatory Arthritis
    • Septic, crystal-induced, rheumatoid arthritis (RA)
    • Pain with movement of wrist through its range of motion
    • Synovitis with swelling in setting of inflammatory entities
  • Osteoarthritis
    • Rarely involves wrist except for carpometacarpal (CMC) joint at base of thumb
  • Osteonecrosis (avascular)
    • Localized pain interfering with hand/wrist function
  • Entrapment Syndromes
    • Wrist pain radiating into hand or forearm, +/- sensory or motor deficits
    • Carpal tunnel syndrome
    • Ulnar or interosseous nerve entrapment
  • Tenosynovitis
  • Ganglion Cyst
  • Referred Pain from Cervical-Spine/Shoulder
    • Pain in absence of local findings
    • Symptoms worsened by neck/shoulder movement
References

References

Template:WikiDoc Sources

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]