Hand & FingersDiagnostic Algorithm

Diagnostic Flowchart: Hand & Fingers

Follow the algorithm step by step. Click on options to navigate through the decision tree.

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start

Hand Pain Assessment

Full Algorithm Overview

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Hand Pain Assessment

→ q_trauma_hand
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Acute injury with laceration or deformity?

Yes → q_tendonNo → q_trigger
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Unable to flex finger (FDS/FDP test abnormal)?

Yes → d_tendon_injuryNo → q_fracture_hand
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Flexor Tendon Injury — URGENT

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Bony tenderness, deformity, or rotational malignment?

Yes → d_fracture_handNo → q_mallet
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Hand/Finger Fracture

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Unable to extend DIP joint (drooping fingertip)?

Yes → d_malletNo → q_trigger
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Mallet Finger

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Finger locking/catching in flexion? Palpable nodule at A1 pulley?

Yes → d_triggerNo → q_inflammatory
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Trigger Finger

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Symmetrical MCP/PIP swelling? Morning stiffness >30 min?

Yes → d_raNo → q_oa_hand
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Suspected Rheumatoid Arthritis — URGENT

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Bony enlargements at DIP/PIP joints? Age >50?

Yes → d_oa_handNo → q_dupuytren
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Hand Osteoarthritis

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Palmar nodules/cords with finger contracture?

Yes → d_dupuytrenNo → d_other_hand
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Dupuytren's Contracture

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Consider: Ganglion, infection, gout, other