Differential Diagnosis for Intermittent Sharp Pain in Wrist at the Thumb Side
Single Most Likely Diagnosis
- De Quervain's Tenosynovitis: This condition, which affects the tendons on the thumb side of the wrist, is a common cause of sharp, intermittent pain in this area, especially when forming a fist, grasping, or turning the wrist.
Other Likely Diagnoses
- Wrist Ganglion Cyst: A common benign lump that can cause pain, especially if it presses on a nerve or tendon, often found on the thumb side of the wrist.
- Scaphoid Fracture: A fracture of one of the small bones in the wrist, which can cause sharp pain, especially with movement or weight-bearing activities.
- Thumb Carpometacarpal Joint Arthritis: Arthritis in the joint at the base of the thumb can cause sharp pains, especially with gripping or twisting motions.
Do Not Miss Diagnoses
- Infectious Tenosynovitis: An infection within the tendon sheath, which can lead to severe consequences if not promptly treated with antibiotics.
- Gout or Pseudogout: These conditions can cause sudden, severe pain and swelling, often affecting the wrist or thumb, and require specific treatment to manage symptoms and prevent long-term damage.
- Radial Nerve Compression: Compression of the radial nerve can cause pain and weakness in the wrist and hand, and if not addressed, can lead to permanent nerve damage.
Rare Diagnoses
- Kienböck's Disease: A rare condition where the blood supply to one of the bones in the wrist (the lunate) is interrupted, leading to its collapse and potentially causing wrist pain.
- Giant Cell Tumor of the Tendon Sheath: A rare, benign tumor that can cause pain and swelling in the wrist, especially if it compresses nerves or tendons.
- Sarcoidosis: A systemic disease that can cause inflammation and pain in various parts of the body, including the wrists, though wrist involvement is less common.