- Slides1st CMC Osteoarthritis (Base of Thumb)Aching at the base of the thumb on jars, keys and taps. Common, easy to find, and the best-evidenced conservative problem in the hand — including which splint and how long.
- SlidesCarpal Tunnel SyndromeNight-waking numbness in the thumb, index and middle fingers. The most common entrapment neuropathy and the one students over-test — what the tests are worth, and when it stops being yours.
- SlidesDe Quervain's TenosynovitisRadial wrist pain at the base of the thumb, classically in a new parent. Easy to recognise, easy to mislabel, and the loading advice is less settled than it feels.
- SlidesDistal Radius Fracture (post-immobilisation)The wrist six weeks out of a cast: stiff, weak, swollen and ginger about being used. The single most likely fracture rehab a student is handed, and what the first session should actually contain.
- SlidesDRUJ InstabilityUlnar wrist pain with the forearm giving way on a door handle or a full kettle. Usually the sequel to something else, and usually missed because everyone stopped looking when the fracture healed.
- SlidesDupuytren's ContractureA painless cord in the palm slowly pulling a finger into flexion. The diagnosis is easy; the useful skill is knowing exactly what you can and cannot change.
- SlidesECU Tendinopathy / SubluxationDorsal ulnar wrist pain with a snap on supination, in a racquet player or a gymnast. The third column of the ulnar wrist table, and the one you are most likely to feel under your fingers.
- SlidesMallet FingerA fingertip that droops and cannot be actively straightened after a direct blow. The diagnosis takes five seconds and the treatment takes eight weeks of someone else's discipline.
- SlidesScaphoid FractureSomeone fell on an outstretched hand, thought they sprained a wrist, and is still sore at the base of the thumb. The most commonly missed fracture in the body, missed in exactly the room you'll be standing in.
- SlidesTFCC InjuryUlnar wrist pain and clicking after a rotation or axial load. The commonest label on that side of the wrist, and the one most often applied to a scan rather than a patient.
- SlidesTrigger Finger (stenosing flexor tenosynovitis)A finger that catches or locks in flexion and has to be prised straight, worst in the morning. The top differential on the Dupuytren's page, and the thing that looks like it for ten seconds.
- SlidesUlnar Tunnel Syndrome (Guyon's Canal)Numbness in the ring and little fingers with a clumsy hand, after pressure through the heel of the hand. The ulnar nerve's other tunnel, where a lump is a realistic cause rather than a rare one.
This is a learning tool. It does not diagnose patients and does not replace your clinical educator.
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