Musculoskeletal problems of the wrist and hand classification: Difference between revisions
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Revision as of 20:03, 14 May 2013
Musculoskeletal problems of the wrist and hand Microchapters |
Differentiating Musculoskeletal problems of the wrist and hand from other Diseases |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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