The Upper Hand: Chuck & Chris Talk Hand Surgery

Ulnar Sided Wrist Pain, Episode 1: Diagnosis

May 31, 2020
Dive into the intriguing world of ulnar-sided wrist pain as experts unravel its complexities. Discover how a thorough history and physical examination guide accurate diagnoses. Learn about unique diagnostic techniques like the 'ice cream scoop maneuver' and the impact of imaging on identifying conditions. The discussion also sheds light on the balance between surgical and non-surgical treatments, showcasing the effectiveness of braces and the importance of follow-ups. It’s a blend of medical insights and relatable experiences that keeps you engaged!
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ADVICE

Triage Using Diagnostic Categories

  • Triage patients into categories immediately during history taking.
  • Use diagnostic categories to prioritize clinical suspicion and imaging needs.
ADVICE

Standard PA X-ray Positioning

  • Obtain a standard PA wrist x-ray with zero rotation for accurate ulnar variance assessment.
  • Ensure radiology techs position the shoulder and elbow correctly for reliable imaging.
ADVICE

MRI Arthrogram Preferred Imaging

  • For ulnar wrist issues, MRI arthrogram is preferred for its sensitivity.
  • MRI quality varies by facility, so optimize with arthrogram when possible.
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