Hand pain
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DDx
- Trauma or overuse, eg, fracture, dislocation, tendinitis
- Trigger finger
- Arthritis, eg, osteoarthritis (DIP & PIP joints), rheumatoid arthritis (MCPs, not DIPs), psoriatic arthritis, reactive arthritis (Reiter’s syndrome), gout, septic arthritis
- Finger: felon (infected pad), paronychia, subungual hematoma
- Area of first CMC joint: osteoarthritis, DeQuervain’s tenosynovitis, scaphoid fracture (snuffbox pain)
- Carpal tunnel syndrome
- Pronator teres syndrome (median nerve entrapment at level of pronator teres)
- Flexor tenosynovitis, eg, overuse, rheumatoid arthritis, gonococcal
- Dupuytren’s contracture
- Ulnar nerve entrapment at the wrist
- Brachial plexus neuropathy
- Cervical nerve root compression, eg, herniated disk
- Superficial radial neuropathy (cheiralgia paresthetica or handcuff neuropathy)
- Reflex sympathetic dystrophy
- Thoracic outlet syndrome
- Vascular, eg, Raynaud’s syndrome, thromboangiitis obliterans (Buerger’s disease), erythromelalgia
- Angina pectoris (left-sided pain)
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DDx
- Trauma or overuse, eg, fracture, dislocation, tendinitis
- Trigger finger
- Arthritis, eg, osteoarthritis (DIP & PIP joints), rheumatoid arthritis (MCPs, not DIPs), psoriatic arthritis, reactive arthritis (Reiter’s syndrome), gout, septic arthritis
- Finger: felon (infected pad), paronychia, subungual hematoma
- Area of first CMC joint: osteoarthritis, DeQuervain’s tenosynovitis, scaphoid fracture (snuffbox pain)
- Carpal tunnel syndrome
- Pronator teres syndrome (median nerve entrapment at level of pronator teres)
- Flexor tenosynovitis, eg, overuse, rheumatoid arthritis, gonococcal
- Dupuytren’s contracture
- Ulnar nerve entrapment at the wrist
- Brachial plexus neuropathy
- Cervical nerve root compression, eg, herniated disk
- Superficial radial neuropathy (cheiralgia paresthetica or handcuff neuropathy)
- Reflex sympathetic dystrophy
- Thoracic outlet syndrome
- Vascular, eg, Raynaud’s syndrome, thromboangiitis obliterans (Buerger’s disease), erythromelalgia
- Angina pectoris (left-sided pain)
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