A 33-Year-Old Woman With a Lump in Her Wrist

Angela Castillo, MD; Alfredo Cabello Buscema, MD; Francisco Valdiviezo, MD


May 10, 2018

Physical Examination and Workup

Upon physical examination, the patient appears to have a 2.5 cm × 2 cm immobile mass in the volar aspect of her right wrist (Figure 1).

Figure 1.

As she described, she demonstrates decreased muscle strength when using that hand. She also has decreased pinprick sensitivity in the fingers of that hand, sparing the fifth finger. The Tinel sign and Phalen maneuver are both positive. Her radial and cubital pulses are both normal. No tenderness is observed at the distal radial styloid process.

The remainder of the patient's physical examination is unremarkable.


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