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COMMON ETIOLOGIES FOR HAND AND WRIST PAIN Wrist Pain : Palmar Carpal Tunnel Syndrome

The complex anatomy of the hand and wrist involves many structures interacting in close proximity to one another. Several different diagnoses can manifest with similar symptom patterns despite varying pathologies. A precise knowledge of the anatomy of the hand and wrist often eliminates several diagnostic considerations on the basis of the physical examination alone. The history of the illness and the examination also help to narrow further investigation by enabling the physician to choose appropriate additional diagnostic tests better. Several common sites of pain in the hand and wrist and their corresponding leading diagnoses are illustrated in Figure 50-1. Pain in one location can have multiple etiologies depending on the patient profile and the history of the problem. A thorough review of the pertinent regional anatomy is important to help differentiate successfully the many possible causes of hand and wrist pain.