| Differential Diagnosis |
Signs and Symptoms |
| Smith's Fracture |
Garden Spade fork deformity, Pain, Swelling, Pt tenderness, loss circulation |
| Carpal Tunnel Syndrome |
tingling/numbness hand, P! radiating from wrist, weakness in hands, loss sensation |
| Cyclist's Palsy |
sensory loss, weakness hand and thumb, numbness/tinling in hand, weak pinching |
| Bowler's Thumb |
numbness, P, tingling in thumb, decreased strength in thumb |
| Colle's Fracture |
P, swelling, loss ROM/function, snapping/crushing sound |
| Jersery Finger |
severe P, loss of function, palpable tendon on supinated hand, visible hematoma, unable flex DIP against resistance |
| Des Quervian's Disease |
increased P over tendons/radial styloid process, crepitus at thumb, Increased P w/ abd, gripping, flex of thumb (Finkelstein's) |
| Game Keeper Thumb |
P, swelling, bruising, increased P w/ ROM, jt laxity w/ abd/ext |
| Boutonniere Deformity |
P!/swelling over PIP jt, PIP flex DIP hyperext, unable to ext PIP |
| Phalanx Fracture |
P, pt tenderness, loss ROM, deformity, swelling, crepitus |
| Paronychia |
nail fold red/swollen, P w/ palpation, produce purulent matter |
| Scaphoid Fracture |
swelling, pt tenderness at snuff box, neuro deficits, loss grip strength, FOOSH, loss ROM, stiffness, P weight bearing (pushups) |
| Ulnar Neuropathy |
paresthesia ulnar nerve distribution, P small fingers, weak grip strength, P/pt tenderness ulnar of wrist, +tinnels, mm atrophy, unable to ext 5th |
| Radial Nerve Compression |
P/paresthesia over dorsal-radial wrist/hand, P ulnar deviation, abnormal sensations, difficulty ext elbow, mm weakness/atrophy, wrist/finger drop |
| Ganglion Cyst |
notable lump, tingling/loss ROM/burning if near nerve, dull P/ache, tenserness, swelling, weakness, loss ROM, growing/shrinking lump, movement painfull |
| Wrist Sprains |
swelling, P at time injury, P with wrist movement, bruising/discoloration, tenderness at injury site, popping/tearing at wrist, warm temp, |
| Lunate Dislocation/Subluxation |
localized tenderness, crepitus with movement, instability, decreased grip strength, median nerve symptoms, swelling, fingers in partial flex |
| Mallet Finger |
MOI:extreme/rapid flexion of finger, avulsion ext tendon, bone pull off w/ tendon, drooping finger tip, P, swelling, redness, unable ext DIP |
| Bennette’s Fracture |
thumb fracture, P at base thumb, rapid swelling, decrease ROM, complications maybe tramatic arthritis, visible deformity, may have circulation problems (coldness/numbness in thumb) |
| IP Dislocations |
stiffness, P, loss ROM, edema, deformity, numbness involved digit, instability jt, increased P w/ valgus/varus/distraction |
| Subungal Hematoma |
increased P w/ pressure, black/bruised nail, blood underneath nail, nail may fall off, possible broken toe/finger |
| Hamate Fracture |
decreased grip strength, P over hamate/with grip/flex 4th and 5th/with dorsi-ulnar deviation, nerve problems if impingment, tendonitis of flex tendons, wrist weakness |
| Boxer’s Fracture |
fracture 5th, swelling, tenderness, deformity, heard crack/pop, P, bruising, weak/numb hand, abnormal bone movement, possible cut due to punching a wall |
