Term
| A 24-year old male presents with pain in the hand after an injury. On examination, there is swelling, discoloration and tenderness at the base of the thumb. X-ray of the hand shows a fracture at the base of the thumb and a subluxation of the 1st carpometacarpal joint. |
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Definition
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Term
| A 28-year old male presents with a swollen hand after punching a wall in a fit of anger. On examination, there is swelling, discoloration and tenderness over the distal aspect of the 3rd metacarpus. X-ray shows a lucent break just below the head of the 3rd metacarpus. |
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Definition
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| A 67-year old female presents with nocturnal pain in her left hand. The pain is felt in the thumb, index and middle fingers. She also suffers from hypothyroidism. On examination, Tinel, Phalen and Wrist Compression reproduce the pain. Nerve Conduction Velocity studies show a delay along the median nerve. |
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Definition
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Term
| A 19-year old male presents with pain over the radial aspect of his after being struck with a night stick. On examination, there is swelling and tenderness over the styloid process of the radius. X-ray of the wrist show a fracture through the articular surface of the distal radius just below the styloid process. |
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Definition
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Term
| A 45-year old gardener presents with burning pain and swelling of the right hand after being hit by a falling branch three months ago. On examination, the right hand is swollen, shiny and tender. X-ray of the hand shows localized osteopenia of the bones in the hands. |
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Definition
| Complex Regional Pain Syndrome |
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Term
| A 35-year old female high school teacher presents with pain over the lateral aspect of the distal right wrist. On examination, Finkelstein test is positive. |
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Definition
| de Quervain’s tenosynovitis |
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Term
| A 47-year old overweight male presents with painful swollen fingers. He has psoriasis for the past 20 years. On examination, there are swollen fingers with tenderness over the distal interphalangeal joints. X-ray of the hands show pencil and cup deformity. |
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Definition
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Term
| A 22-year old female presents with painful joints in both hands and wrists. She complains of early morning stiffness who lasts longer than 1 hour. On examination, there is swelling and tenderness of her PIP, MCP and radiocarpal joints in both hands. Her rheumatoid factor is positive. X-ray of her hands show soft tissue swelling, intra-articular erosions and ulnar deviation of the metacarpophalangeal joints. |
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Definition
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Term
| A 67-year old male presents with a painful wrist after a fall in the supermarket. On examination, there is swelling and tenderness in his right anatomical snuffbox. X-ray shows fracture through a boat-shaped carpal bone. |
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Definition
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Term
| A 19-year old teen presents with a painful wrist following a basketball injury. On examination, there is mild swelling of the wrist. There is radial tenderness on ulnar deviation of the hand. Traction make the pain worse. |
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Definition
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Term
| A 23-year old chiropractic student complains of pain in the ulnar aspect of the right wrist when she attempts to deliver an anteroposterior thrust. She was a gymnast in her teens. On examination, supination/pronation of the wrist aggravates the pain. MRI shows a tear in the affected structure. |
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Definition
| Triangular Fibrocartilage Complex Tear |
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Term
| A 28-year old female with rheumatoid arthritis presents with pain along the ulnar aspect of the hand. On examination, percussion of the region near the pisiform bone reproduces the pain and tingling. NCV studies show a delay in conduction along the affected nerve. |
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Definition
| Ulnar nerve entrapment in Guyon’s canal |
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