Finkelstein Test

 Finkelstein Test

What is Finkelstein Test?

Finkelstein Test is used to test for De Quervain’s tenosynovitis of the 1st extensor compartment of the wrist.

It was described by Harry Finkelstein (an American surgeon) in 1930.

How it’s Performed?

Finkelstein Test

What does a positive Finkelstein Test mean?

Notes

Isolation of the EPB tendon in a separate compartment has been reported to contribute to the pathogenesis of de Quervain disease.1

De Quervain’s tenosynovitis

De Quervain tenosynovitis described by the presence of pain along the radial aspect of the wrist that worsens with radial and ulnar wrist deviation; pain on performing Finkelstein maneuver is pathognomonic.

Differential Diagnosis include:

  1. Arthritis of the first carpometacarpal joint,
  2. Scaphoid fracture and nonunion
  3. Radiocarpal arthritis
  4. Wartenberg syndrome
  5. Intersection syndrome
1st extensor compartment
1st extensor compartment

Reference

  1. Alexander RD, Catalano LW, Barron OA, et al: The extensor pollicis brevis entrapment test in the treatment of de Quervain’s disease. J Hand Surg Am 27:813–816, 2002.
  2. Clinical Tests for the Musculoskeletal System 3rd Edition.
  3. Dutton’s Orthopaedic Examination, Evaluation, And Intervention 3rd Edition.

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