Snapshot A 32-year-old secretary presents with pain over the radial side of her right wrist. She denies any history of wrist trauma. Her pain is aggravated by carrying her 3-month-old son. She is swollen and tender over the radial styloid. Finkelstein test is positive. Radiographs are normal without signs of osseous abnormalities. Introduction Clinical definition login to view 3 more bullets Etiology Posttraumatic Overuse injury Pathoanatomy login to view 11 more bullets Epidemiology Incidence login to view 1 more bullet Demographics login to view 2 more bullets Risk factors login to view 7 more bullets Presentation Symptoms login to view 2 more bullets Physical exam login to view 4 more bullets Imaging Radiography login to view 4 more bullets Differential Osteoarthritis of the 1st carpometacarpal joint (base of the thumb) login to view 3 more bullets Intersection syndrome (tenosynovitis where the 1st and 2nd dorsal compartments cross) login to view 2 more bullets Gamekeeper or Skier thumb (metacarpophlanageal ulnar ligament injury) login to view 5 more bullets Flexor tenosynovitis - a surgical emergency with infection of the flexor sheaths and deep spaces of the hand login to view 5 more bullets Treatment Nonoperative login to view 6 more bullets Operative login to view 3 more bullets Complications Superficial radial nerve injury login to view 2 more bullets Neuroma Prognosis 90% will resolve within 1 year