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Thumb pain

  • Traumatic ddx

    • ligament tear, gamekeeper's thumb, dislocation, fracture
  • Nontraumatic ddx

    • de Quervains tenosynovitis, carpal tunnel, arthritis, trigger finger
  • Labs

    • xray if suspect fracture/dislocation
    • ESR if suspect inflammation
  • HPI

    • onset
    • triggering event
    • location, unilateral vs bilateral
  • ROS

    • thumb trauma
    • falling onto outstretched hand
    • other joint pains
  • PMH

  • FH

  • SH

    • skiing, volleyball, gamekeeper, hunting, shooting
  • Meds, allergies

  • Px

    • vitals
    • inspection
    • palpation
    • ROM
    • strength, sensation
    • Finkelstein test: ulnar deviation of wrist with thumb grabbed in palm triggers pain

  • Print | Citations

    Disclaimer: MDHero Workups is for educational use only, and is not meant to replace the clinical judgement of a professional. We do not guarantee the accuracy of any information on this website.