Finger Pain

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Introduction

• This page provides a general differential diagnosis of patients presenting with finger pain

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Minimally displaced 4th middle phalanx fracture

Illustration of how UCL thumb injuries occur

Left: Nailbed laceration with partial avulsion of the finger nail. Right: the nailbed has been repaired.

PA Radiograph of Thumb CMC Arthritis

Differential Diagnosis

• Fractures
  • Phalanx Fractures of the Hand
  • Metacarpal Fractures
    • Boxers Fracture
    • Rolando Fracture
    • Bennett Fracture
• Dislocations
  • Metacarpophalangeal Joint Dislocation
  • Interphalangeal Joint Dislocation (Proximal and Distal)
  • Carpometacarpal Joint Dislocation
• Tendinopathies
  • Extensor Tendon Injuries of the Hand
  • Central Slip Extensor Tendon Injury
  • Flexor Tendon Injuries of the Hand
  • Boutonniere Deformity
  • Swan Neck Deformity
  • Jersey Finger
  • Mallet Finger
  • Trigger Finger
  • De Quervains Tenosynovitis
  • Volar Plate Avulsion Injury
  • Sagittal Band Injury
  • Mannerfelt Lesion (FPL Rupture)
• Ligament Injuries
  • Gamekeepers Thumb (UCL)
  • Radial Collateral Ligament of the Thumb Injury (RCL)
• Neuropathies
  • Wartenbergs Syndrome
  • Carpal Tunnel Syndrome
  • Guyon Canal Syndrome
• Arthropathies
  • Carpometacarpal Arthritis
  • Finger Arthritis
  • Rheumatoid Arthritis
• Nail Bed Injuries
  • Nail Bed Lacerations
  • Nail Bed Avulsions
  • Subungual Hematoma
  • Paronychia
  • Felon
• Pediatric Considerations
  • Proximal Phalanx Avulsion Fracture (Thumb)
  • Middle and Distal Phalanx Avulsion Fracture
• Other
  • Dupuytrens Contracture
  • Intrinsic Plus

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See Also

• Hand and Wrist Anatomy (Main)
• Finger Pain (Main)
• Hand Pain (Main)
• Physical Examination Hand

External

• Sports Med Review Hand Pain: https://www.sportsmedreview.com/by-joint/hand/

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