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Finkelstein's test was described by Harry Finkelstein (1865–1939), an American surgeon, in 1930. [5]A similar test was previously described by Eichhoff, in which the thumb is placed in the palm of the hand and held with the fingers, and the hand is then ulnar deviated (see images), causing intense pain over the radial styloid which disappears if the thumb is released.
The extensor tendons are held in place by the extensor retinaculum. As the tendons travel over the posterior (back) aspect of the wrist they are enclosed within synovial tendon sheaths . These sheaths reduce the friction to the extensor tendons as they traverse the compartments that are formed by the attachments of the extensor retinaculum to ...
The extensor tendon sheaths on the back of the wrist. De Quervain syndrome involves noninflammatory thickening of the tendons and the synovial sheaths that the tendons run through. The two tendons concerned are those of the extensor pollicis brevis and abductor pollicis longus muscles.
The extensor indicis proprius usually runs and inserts onto the ulnar side of the extensor digitorum communis of the index finger. [4] The fifth compartment is occupied by the extensor digiti minimi, the extensor of the little finger. The extensor carpi ulnaris passes through the sixth compartment to insert to the base of the fifth metacarpal bone.
The extensor carpi radialis longus (ECRL) has the most proximal origin of the extrinsic hand extensors. It originates just distal to the brachioradialis at the lateral supracondylar ridge of the humerus, the lateral intermuscular septum, and by a few fibers at the lateral epicondyle of the humerus. [1]
Extensor pollicis longus extends the terminal phalanx of the thumb. While abductor pollicis brevis and adductor pollicis, both attached to the extensor pollicis longus tendon, can extend the thumb's interphalangeal joint to the neutral position, only extensor pollicis longus can achieve full hyperextension at the interphalangeal joint.
The extensor pollicis brevis arises from the ulna distal to the abductor pollicis longus, from the interosseous membrane, and from the dorsal surface of the radius. [1]Its direction is similar to that of the abductor pollicis longus, its tendon passing the same groove on the lateral side of the lower end of the radius, to be inserted into the base of the first phalanx of the thumb.
The extensor carpi radialis longus is a wrist extensor that is innervated by the radial nerve, [2] [3] from spinal roots C6 and C7. [4] All other major extensor muscles in the superficial layer of the posterior compartment (the extensor digitorum , extensor carpi radialis brevis , extensor carpi ulnaris , and extensor digiti minimi ) are ...
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