Wrist Injury
Age: years old
Gender:
HISTORY:
Presents with a wrist pain following an injury ago
Mecanism 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*
Contributing factors:
no history of: , , ,
EXAM:
Wrist:
Inspection:
Palpation: on ,
Range of motion:
- Flexion:
- Extension:
- Ulnar deviation:
- Radial deviation:
Strength: , except on
Neurovascular: , pulses , cap refill sec, sensation
Special tests:
- Finkelstein test:
- Grind test:
- Phalen test:
- Tinel sign:
ASSESSMENT:
DDx: wrist sprain, wrist fracture, scaphoid fracture, distal radius fracture, distal ulna fracture, carpal bone fracture, carpal dislocation, ligament tear (e.g. scapholunate, lunotriquetral), triangular fibrocartilage complex injury, gout, septic arthritis
PLAN:
Investigations:
- Wrist X-ray with scaphoid view
- CT scan of the wrist
- MRI of the wrist
Treatments:
- Rest and elevation
- Ice application
- Compression bandage
- Wrist splint
-
-
-
- Physical therapy
- Occupational therapy
Further care:
- Referral to orthopedic surgeon
- Follow-up in
- Return if symptoms do not improve with treatment
HISTORY: Associated symptoms: EXAM: Wrist: ASSESSMENT: PLAN: