Wrist Pain
Age: years old
Gender:
HISTORY:
Presents with a - history of wrist pain
Onset was , started
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 tendonitis, extensor tendonitis, flexor tendonitis, De Quervain's tenosynovitis, intersection syndrome, osteoarthrosis of the 1st CMC joint, wrist sprain, wrist fracture, scaphoid fracture, distal radius fracture, carpal tunnel syndrome, distal ulna fracture, carpal bone fracture, carpal dislocation, ligament tear, triangular fibrocartilage complex injury, gout, septic arthritis, ganglion cyst
PLAN:
Investigations:
- Wrist X-ray
- MRI of the wrist
- Blood work: , , , ,
Treatments:
- Rest and elevation
- Ice application
- Wrist splint
-
-
- Physical therapy
- Occupational therapy
Further care:
- Referral to orthopedic surgeon
- Follow-up in
- Return if pain worsens, if new symptoms develop such as redness or fever, or if symptoms do not improve with treatment
HISTORY: Associated symptoms: EXAM: Wrist: ASSESSMENT: PLAN: