Finkelstein's test

Finkelstein's Test

Finkelstein's test

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Finkelstein's test is used to diagnose DeQuervain's tenosynovitis in people who have wrist pain. To perform the test, the examining physician grasps the thumb and the hand is ulnar deviated sharply, as shown in the image. If sharp pain occurs along the distal radius (top of forearm, close to wrist; see image), DeQuervain's tenosynovitis is likely.

Some other doctors ask their patients to flex their thumb and clench their fist over the thumb followed by ulnar deviation for Finkelstein's test.

Purpose: Finkelstein's test is one way to determine if there is tenosynovitis in the abductor pollicis longus and extensor pollicis brevis tendons of the wrist. These two tendons belong to the first dorsal compartment.

First dorsal compartment: abductor pollicis longus and extensor pollicis brevis.

Second dorsal compartment: extensor carpi radialis longus and extensor carpi radialis brevis.

Third dorsal compartment: extensor pollicis longus.

Fourth dorsal compartment: extensor digitorum and extensor indicis.

Fifth dorsal compartment: extensor digiti minimi.

Sixth dorsal compartment: extensor carpi ulnaris.

Origin/Background on Finkelstein: Finkelstein's test was described by Harry Finkelstein (1865-1939), an American surgeon, in 1930.Finkelstein, H., (1930): Stenosing tenosynovinitis at the radial styloid process. The Journal of Bone and Joint Surgery, 1930, 12: 509-540. A similar test was previously described by Eichoff, in which the thumb is placed in the palm of the...
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