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Medical Author:

Justin Strittmatter, MD

Coauthor:

Charles Preston, MD

Medical Editor:

William C. Shiel Jr., MD, FACP, FACR

William C. Shiel Jr., MD, FACP, FACR

Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.

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These signs and symptoms may occur minutes to hours after the fall that created the injury.

• Pain at the base of the thumb in the web space between thumb and index finger
• Swelling of the thumb
• Inability to grasp or weakness of grasp between the thumb and index finger (most important)
• Tenderness to the touch along the index finger side of the thumb (most important)
• Blue or black discoloration of the skin over the thumb
• Thumb pain that worsens with movement in any or all directions
• Pain in the wrist (which may be referred pain from the thumb)

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