Clinical Pattern Recognition - Wrist/Hand Pain

From anatomy to discovering the patient!

• Carpal tunnel syndrome is the most common upper extremity compressive neuropathy

  o 1 to 5% of general population

• There were 11,332 cases of DeQuervain’s tenosynovitis in the population at risk of 12,117,749 person-years

• Women had a significantly higher rate of DeQuervain’s tenosynovitis at 2.8 cases per 1000 person-years, compared to men at 0.6 per 1000 person-years

• Triangular fibrocartilage complex (TFCC) was torn in 46 of 118 patients with distal radial

  fracture

  o 35% of intra-articular fractures

  o 53% of extra-articular fractures

• In 59 hands with carpal tunnel syndrome, 34% also had ulnar tunnel (Guyon’s canal) neuropathy

See more prevalence information in the Clinical Pattern Recognition: Orthopaedics app here

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Clinical Pattern Recognition

Click on the pain pattern to learn about the patients and develop your clinical patterns!

1. Carpal Tunnel Syndrome- Hand Sensory Deficits (1-minute video)

2. DeQuervain’s Syndrome-Thumb Pain with Muscle Power Deficits (1-minute video)

3. Sprain of Carpal Ligaments–Wrist and Hand Pain with Movement Coordination Impairments (1-minute video)

4. Sprain of Ulnar Collateral Ligament of the Thumb- Thumb Pain with Movement Coordination Impairments (1-minute video)

5. Sprain or Tear of Triangular Fibrocartilage of the Distal Radius and Ulna- Wrist and Hand Pain with Movement Coordination Impairments (1-minute video)

6. Thumb Osteoarthritis- Thumb Pain with Mobility Deficits (1-minute video)

7. Ulnar Tunnel Syndrome or Entrapment Around Pisohamate Ligament- Hand Sensory Deficits (1-minute video)

8.  Wrist Osteoarthritis- Wrist Pain with Mobility Deficits (1-minute video)