Hand Trauma
Age: years old
Gender:
HISTORY:
Presents with a hand pain following an injury ago
Mechanism of injury:
Location is
Radiation to
Rated at / 10
Described as
Pattern
Worsening factors:
Alleviating factors: ,
Occupation:
Dominant hand:
Associated symptoms: *Try using right-click for negatives*
, up to °, over
Contributing factors:
no history of: ,
EXAM:
Hand:
Inspection:
Palpation: on of the finger(s)
Range of motion:
- Finger flexion:
- Finger extension:
- Finger abduction:
- Thumb opposition:
Strength: , except on finger(s)
Neurovascular: , cap refill sec, sensation
ASSESSMENT:
DDx: hand sprain, hand fracture, finger sprain, finger fracture, thumb sprain, thumb fracture, metacarpal fracture, phalangeal fracture, carpal tunnel syndrome, skier's thumb, boxer's fracture, mallet finger, boutonniere deformity, flexor tendon injury, extensor tendon injury, scaphoid fracture, carpal bone fracture, gout, septic arthritis, osteoarthritis
PLAN:
Investigations:
- Hand X-ray
- CT scan of the hand
- MRI of the hand
Treatments:
- Rest and elevation
- Ice application
- Compression bandage
- Splinting of the hand
-
-
- Physical therapy
- Occupational therapy
- Tetanus vaccine
Further care:
- Referral to orthopedic surgeon
- Referral to hand surgeon
- Follow-up in
- Return if pain worsens, if new symptoms develop such as redness or swelling, or if symptoms do not improve with treatment
- Referral to ER if severe pain, inability to move the hand, or fever occurs
HISTORY: Associated symptoms: EXAM: Hand: ASSESSMENT: PLAN: