DDx ⬇
- Trauma or overuse, eg, fracture, dislocation, tendinitis
- Trigger finger
- Arthritis, eg, osteoarthritis (DIP & PIP joints), rheumatoid arthritis (MCPs, not DIPs), psoriatic arthritis, reactive arthritis (Reiters syndrome), gout, septic arthritis
- Finger: felon (infected pad), paronychia, subungual hematoma
- Area of first CMC joint: osteoarthritis, DeQuervains tenosynovitis, scaphoid fracture (snuffbox pain)
- Carpal tunnel syndrome
- Pronator teres syndrome (median nerve entrapment at level of pronator teres)
- Flexor tenosynovitis, eg, overuse, rheumatoid arthritis, gonococcal
- Dupuytrens contracture
- Ulnar nerve entrapment at the wrist
- Brachial plexus neuropathy
- Cervical nerve root compression, eg, herniated disk
- Superficial radial neuropathy (cheiralgia paresthetica or handcuff neuropathy)
- Reflex sympathetic dystrophy
- Thoracic outlet syndrome
- Vascular, eg, Raynauds syndrome, thromboangiitis obliterans (Buergers disease), erythromelalgia
- Angina pectoris (left-sided pain)
Related DDx ⬆