Consider first that it may be caused by recent trauma, or if there is no recent history of injury, consider infectious, metabolic bone disease, bone and joint tumours, allergic reactions…
The cause of acute bacterial (septic) arthritis can be ruled out first, with a predominant bias towards joint injury due to chronic disease being considered, with care taken to rule…
Two main categories of disease can be considered: traumatic and non-traumatic.Firstly, traumatic consider a range of acute hand trauma and chronic injurious disorders of the joints.Secondly, non-traumatic conditions involve a…