Clinical Pattern Recognition - Wrist/Hand Pain

From anatomy to discovering the patient!

  • Carpal tunnel syndrome is the most common upper extremity compressive neuropathy

    o 1 to 5% of general population

  • There were 11,332 cases of DeQuervain’s tenosynovitis in the population at risk of 12,117,749 person-years

  • Women had a significantly higher rate of DeQuervain’s tenosynovitis at 2.8 cases per 1000 person-years, compared to men at 0.6 per 1000 person-years

  • Triangular fibrocartilage complex (TFCC) was torn in 46 of 118 patients with distal radial


    o 35% of intra-articular fractures

    o 53% of extra-articular fractures

  • In 59 hands with carpal tunnel syndrome, 34% also had ulnar tunnel (Guyon’s canal) neuropathy

See more prevalence information in the Clinical Pattern Recognition: Orthopaedics app here

Clinical Pattern Recognition

Click on the pain pattern to learn about the patients and develop your clinical patterns!

  1. Carpal Tunnel SyndromeHand Sensory Deficits (1-minute video)

2. DeQuervain’s Syndrome-Thumb Pain with Muscle Power Deficits (1-minute video)

3. Sprain of Carpal Ligaments–Wrist and Hand Pain with Movement Coordination Impairments (1-minute video)

4. Sprain of Ulnar Collateral Ligament of the ThumbThumb Pain with Movement Coordination Impairments (1-minute video)

5. Sprain or Tear of Triangular Fibrocartilage of the Distal Radius and UlnaWrist and Hand Pain with Movement Coordination Impairments (1-minute video)

6. Thumb Osteoarthritis- Thumb Pain with Mobility Deficits (1-minute video)

7. Ulnar Tunnel Syndrome or Entrapment Around Pisohamate Ligament- Hand Sensory Deficits (1-minute video)

8.  Wrist OsteoarthritisWrist Pain with Mobility Deficits (1-minute video)