[Pain around the first ray of the hand: differential diagnoses and treatment].

Orthopadie (Heidelberg, Germany) Pub Date : 2025-03-01 Epub Date: 2025-01-29 DOI:10.1007/s00132-025-04616-9
R Meier, C K Spies, U Hug, P Honigmann, A Harbrecht, C Engler
{"title":"[Pain around the first ray of the hand: differential diagnoses and treatment].","authors":"R Meier, C K Spies, U Hug, P Honigmann, A Harbrecht, C Engler","doi":"10.1007/s00132-025-04616-9","DOIUrl":null,"url":null,"abstract":"<p><p>Pain around the first ray of the hand, particularly in the thumb area, is a frequent clinical problem that can have various causes. This article explores the most important differential diagnoses, including thumb carpometacarpal (CMC-I) osteoarthritis (rhizarthrosis), de Quervain's stenosing tenosynovitis, carpal tunnel syndrome and Wartenberg's syndrome. A detailed medical history, targeted clinical examination and if necessary the use of modern imaging techniques are crucial for making the diagnosis. The therapeutic approaches range from conservative measures to surgical interventions, depending on the severity and underlying cause of the disease. This article provides an overview of current diagnostic and treatment strategies.</p>","PeriodicalId":74375,"journal":{"name":"Orthopadie (Heidelberg, Germany)","volume":" ","pages":"227-239"},"PeriodicalIF":0.0000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Orthopadie (Heidelberg, Germany)","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s00132-025-04616-9","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/29 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

Abstract

Pain around the first ray of the hand, particularly in the thumb area, is a frequent clinical problem that can have various causes. This article explores the most important differential diagnoses, including thumb carpometacarpal (CMC-I) osteoarthritis (rhizarthrosis), de Quervain's stenosing tenosynovitis, carpal tunnel syndrome and Wartenberg's syndrome. A detailed medical history, targeted clinical examination and if necessary the use of modern imaging techniques are crucial for making the diagnosis. The therapeutic approaches range from conservative measures to surgical interventions, depending on the severity and underlying cause of the disease. This article provides an overview of current diagnostic and treatment strategies.

【手一线周围疼痛:鉴别诊断和治疗】。
手的第一道射线周围的疼痛,特别是在拇指区域,是一个常见的临床问题,可能有各种原因。本文探讨了最重要的鉴别诊断,包括拇指腕掌骨(CMC-I)骨关节炎(根状关节病),de Quervain's狭窄性腱鞘炎,腕管综合征和Wartenberg's综合征。详细的病史、有针对性的临床检查以及必要时使用现代成像技术是做出诊断的关键。治疗方法从保守措施到手术干预,取决于疾病的严重程度和潜在原因。本文概述了目前的诊断和治疗策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信