Finkelstein Test is used to test for De Quervain’s tenosynovitis of the 1st extensor compartment of the wrist.…
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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.
- 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.
- Clinical Tests for the Musculoskeletal 3rd Ed. Book
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