Differential Diagnosis for Right Hand Pointing Finger Swollen and Limited Movement
Single Most Likely Diagnosis
- Fracture of the Proximal Interphalangeal (PIP) Joint or Middle Phalanx: This is the most likely diagnosis given the history of trauma while trying to catch a ball, which could have resulted in a fracture. The inability to bend and limited movement due to pain are consistent with a fracture, especially if it involves the PIP joint or the middle phalanx of the pointing finger.
Other Likely Diagnoses
- Ligament Sprain: A sprain, particularly of the collateral ligaments of the PIP joint, could result from the described injury, leading to pain and limited movement.
- Tendinitis or Tenosynovitis: Inflammation of the tendons or their surrounding sheaths could be caused by the injury, especially if there was a sudden, forceful contraction of the finger muscles.
- Dislocation of the PIP Joint: Although less common than fractures, a dislocation could occur from a similar mechanism of injury and would cause significant pain and limitation in movement.
Do Not Miss Diagnoses
- Infection (Osteomyelitis or Septic Arthritis): Although less likely, an infection could develop after a traumatic injury, especially if the skin was broken. Missing this diagnosis could lead to serious complications, including destruction of the joint or bone.
- Compartment Syndrome: This is a condition where increased pressure within a confined space in the body leads to inadequate blood supply to the tissues. It is a medical emergency that could occur after a traumatic injury and requires prompt treatment.
Rare Diagnoses
- Ganglion Cyst: A ganglion cyst is a lump under the skin that can occur on the wrist or finger and might cause discomfort or limited movement, but it is less directly related to traumatic injury.
- Tumor (Benign or Malignant): Although extremely rare, a tumor could cause swelling and limited movement of a finger. However, this would be an unusual presentation without other systemic symptoms or a more gradual onset.