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What does a positive Finkelstein test mean? The test is positive if you feel pain at the radial styloid during any stage of the test. The radial styloid is just above the base of your...
You may be asked to perform a Finkelstein test, in which you bend your thumb across the palm of your hand and bend your fingers down over your thumb. Then you bend your wrist toward your little finger. If this causes pain on the thumb side of your wrist, you likely have de Quervain tenosynovitis.
Finkelstein maneuver is a helpful test to diagnose De Quervain's Tendonitis or first dorsal compartment tendonitis named after the Swiss surgeon Fritz de Quervain. This is a condition brought on by irritation or inflammation of the wrist tendons at the base of the thumb.
The test is positive, indicating you may have De Quervain's tenosynovitis, if you experience pain during the maneurver. Finkelstein/Eichhoff test. The orange semi-circle indicates the location of pain when the test is positive.
Healthcare providers use a physical motion called the Finkelstein test to diagnose de Quervain’s tenosynovitis. Your provider will have you make a fist with your fingers wrapped over your thumb. Holding that fist shape, you’ll move your wrist up and down (as if you were shaking someone’s hand).
Harry Finkelstein, an American surgeon, described the Finkelstein's test or Finkelstein's sign in 1930. It is a provocative test for diagnosis of De Quervain disease that can easily be performed in an office setting or at the bedside.
Finkelstein’s Test. The examiner applies longitudinal traction and ulnar deviation to the affected thumb. Pain specifically at the radial styloid process and along the length of the extensor pollicis brevis and abductor pollicis longus tendons is a positive test for De Quervain’s tenosynovitis.
The Finkelstein test requires the patient to place the thumb in palmar flexion while the examiner does ulnar deviation of the wrist. A positive test is indicated by the induction of sharp pain along the radial wrist at the first dorsal compartment.
Diagnosis of De Quervain syndrome is highly suggested by the Finkelstein test. The patient adducts the involved thumb into the palm and wraps the fingers over the thumb. The test is positive if gentle passive ulnar deviation of the wrist provokes severe pain at the affected tendon sheaths.
A simple test—the Finkelstein test—which is performed as follows, can help determine if a person has de Quervain's tenosynovitis: Make a fist with the thumb tucked under the fingers. Tilt the wrist toward the pinky side of the hand (like using a hammer).