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Triage Hand Pain By Three Buckets
- Separate traumatic from nontraumatic causes first when evaluating wrist pain.
- Then sort nontraumatic pain into nerve compression, joint wear, or tendinitis buckets to focus workup.
Anatomy Starts With The Thumb
- You only need basic thumb recognition to localize many hand problems.
- The thumb is shorter and chubbier, and that visual cue guides your exam.
Use Finkelstein's For Thumb Tendonitis
- Perform Finkelstein's test when suspecting De Quervain's tenosynovitis.
- Ask the patient to tuck the thumb, make a fist, and ulnarly deviate the wrist; a painful response supports the diagnosis.