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1 Has there been a fall onto an outstretched hand or direct trauma?
2
2 Is there immediate swelling to the injury site?
3
3 Is there a deformity to the wrist, hands or fingers?
Fracture
1 Has there been a fall onto an outstretched hand or direct trauma?
2
2 Is there immediate swelling to the injury site?
3
3 Is there a deformity to the wrist, hands or fingers?
4
4 Is there pain and increased movement at the injured joint?
Sprain
1 Has there been a fall onto an outstretched hand or direct trauma?
4
4 Is there pain and increased movement at the injured joint?
5
5 Is there any pins and needles or numbness in the hand or fingers?
6
6 Is the pain worsened when the front of the wrist is compressed and/or positive Tinel’s sign?
7
7Is there wasting to the thenar eminence in the hand?
Carpal tunnel syndrome
1 Has there been a fall onto an outstretched hand or direct trauma?
4
4 Is there pain and increased movement at the injured joint?
5
5 Are there any pins and needles or numbness in the hand or fingers?
6
6 Is the pain worsened when the front of the wrist is compressed and/or positive Tinel’s sign?
8
8 Do the symptoms worsen with Upper Limb Tension Tests (ULTT)?
Neck/shoulder neuropathy
1 Has there been a fall onto an outstretched hand or direct trauma?
4
4 Is there pain and increased movement at the injured joint?
5
5 Are there any pins and needles or numbness to the hand or fingers?
9
9 Does rest cause stiffness and/ or pain?
Osteoarthritis
1 Has there been a fall onto an outstretched hand or direct trauma?
4
4 Is there pain and increased movement at the injured joint?
5
5 Are there any pins and needles or numbness to the hand or fingers?
9
9 Does rest cause stiffness and/ or pain?
10
10 Is there swelling to the joints?
Inflammatory joint disease
1 Has there been a fall onto an outstretched hand or direct trauma?
4
4 Is there pain and increased movement at the injured joint?
5
5 Is there any pins and needles or numbness to the hand or fingers?
9
9 Does rest cause stiffness and/ or pain?
10
10 Is there swelling to the joints?
11
11 Is there pain on resisting thumb movements and positive Finkelsteins test?
Tendinopathy
1 Has there been a fall onto an outstretched hand or direct trauma?
4
4 Is there pain and increased movement at the injured joint?
5
5 Is there any pins and needles or numbness to the hand or fingers?
9
9 Does rest cause stiffness and/ or pain?
10
10 Is there swelling to the joints?
11
11 Is there pain on resisting thumb movements and positive Finkelsteins test?
12
12 Does the thumb or finger lock or catch with or without reduced range of movement?
Trigger finger
