Finkelstein Test

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

  • With the thumb flexed and the other fingers flexed around it.
  • The wrist is moved into ulnar deviation either actively or passively by the examiner.

What does a positive Finkelstein Test mean?

  • Pain and crepitation above the radial styloid suggest nonspecific tenosynovitis of the abductor pollicis longus and the extensor pollicis brevis.

Notes

  • It is important to differentiate stenosing tenosynovitis (de Quervain’s disease) from osteoarthritis in the carpometacarpal joint of the thumb.
  • Specific examination of the carpometacarpal joint of the thumb and a radiograph will allow a quick differential diagnosis.
  • The Finkelstein test should also be performed on both sides for comparison.

Reference

  • Orthobullets
  • Clinical Tests for the Musculoskeletal 3rd Ed. Book

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