The Upper Hand: Chuck & Chris Talk Hand Surgery

Ulnar Sided Wrist Pain, Episode 1: Diagnosis

May 31, 2020
Dive into the intriguing world of ulnar-sided wrist pain as experts unravel its complexities. Discover how a thorough history and physical examination guide accurate diagnoses. Learn about unique diagnostic techniques like the 'ice cream scoop maneuver' and the impact of imaging on identifying conditions. The discussion also sheds light on the balance between surgical and non-surgical treatments, showcasing the effectiveness of braces and the importance of follow-ups. It’s a blend of medical insights and relatable experiences that keeps you engaged!
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ADVICE

Triage Using Diagnostic Categories

  • Triage patients into categories immediately during history taking.
  • Use diagnostic categories to prioritize clinical suspicion and imaging needs.
INSIGHT

History's Crucial Role in Diagnosis

  • History is crucial in diagnosing ulnar-sided wrist pain despite potential patient biases.
  • Physical exam provides unique insights that history alone cannot capture effectively.
INSIGHT

Clustering Ulnar Wrist Diagnoses

  • Ulnar wrist pain diagnoses cluster into bony pathology, cartilage and ligament issues, and ECU problems.
  • The "clover leaf" framework helps organize differential diagnosis to avoid missing key pathologies.
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