Wrist Pain: Or something else? Differential Diagnosis

Musculoskeletal system and connective tissue (M00-M99).

  • Osteoarthritis, e.g., rhizarthrosis (thumb saddle joint arthrosis) [load-dependent pain at the junction of the thumb (1st metacarpal bone) and the wrist]
  • Chondrocalcinosis (synonym: pseudogout); gout-like disease of the joints caused by deposition of calcium pyrophosphate in cartilage and other tissues; leads, among other things, to joint degeneration (often of the knee joint); symptomatology resembles an acute attack of gout → joint degeneration
  • Ganglion (ganglion)
  • Gout (arthritis urica/uric acid-related joint inflammation or tophic gout)/hyperuricemia (elevation of uric acid levels in the blood).
  • Bone cysts/enchondroma – encapsulated fluid-filled cavities.
  • Kienböck’s disease – bone necrosis of the lunate bone (Os lunatum).
  • Preiser’s disease – bone necrosis of the scaphoid bone (Os scaphoideum).
  • Pisiformitis (irritation of the pea bone (Os pisiform)).
  • Reactive arthritis (synonym: postinfectious arthritis / joint inflammation) – second disease after gastrointestinal (gastrointestinal tract concerning), urogenital (urinary and genital organs concerning) or pulmonary (lungs concerning) infections; refers to an arthritis, where pathogens in the joint (usually) can not be found (sterile synovialitis).
  • Reiter’s disease (synonyms: Reiter’s syndrome; Reiter’s disease; arthritis dysenterica; polyarthritis enterica; postenteritic arthritis; posturethritic arthritis; undifferentiated oligoarthritis; urethro-oculo-synovial syndrome; Fiessinger-Leroy syndrome; English Sexually acquired reactive arthritis (SARA)) – special form of a “reactive arthritis” (see above. ); secondary disease after gastrointestinal or urogenital infections, characterized by the symptoms of Reiter’s triad; seronegative spondyloarthropathy, which is triggered especially in HLA-B27 positive persons by an intestinal or urinary tract disease with bacteria (mostly chlamydia); Can manifest as arthritis (joint inflammation), conjunctivitis (conjunctivitis), urethritis (urethritis) and partly with typical skin changes.
  • Rheumatoid arthritis (synonym: chronic polyarthritis) – chronic inflammatory multisystem disease, which usually manifests itself in the form of synovitis (synovial inflammation).
  • Tendovaginitis stenosans (Quervain’s disease; synonyms: “housewife’s thumb”, fasting finger; snapping finger); Tendovaginitis stenosans de Quervain (“housewife’s thumb”); nonspecific inflammation in the region of the tendon sheaths of the abductor pollicis longus muscle and the extensor pollicis brevis muscle in the first extensor tendon compartment; symptoms: Combination of wrist pain and impaired grip; pain in or near the thumb-side wrist; radiates clustered toward the forearm and is increased with exertion
  • Ratio of length of ulna and radius near wrist: Ulna-minus variant (ulna applied too short); Ulna-plus variant (ulna applied too long).

Neoplasms – tumor diseases (C00-D48).

  • Neoplasms, unspecified
  • Metastases of unspecified neoplasms.

Psyche – nervous system (F00-F99; G00-G99)

Injuries, poisonings and other consequences of external causes (S00-T98).

  • Fracture (fracture of a bone), unspecified
  • Overuse pain (chronic overuse → micro-injuries).
  • Trauma (injury) to soft tissues, unspecified.