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Wrist pain or open wrist is a syndrome inhibiting use of a hand due to pain in anatomical structures of the wrist. [1] ... (push up maneuver) or a dorsal wrist ...
Examination may identify limited passive wrist motion, pain at the extremes of wrist motion, tenderness at the radioscaphoid joint, and dorsal radial prominence. [2] Activities that use forceful wrist extension such as rising from a chair or push-ups may be painful.
With the patient's forearm slightly pronated, the examiner grasps the wrist from the radial side, placing his thumb on the scaphoid tuberosity (as if pushing a button to open a car door) and wrapping his fingers around the distal radius. The examiner's other hand grasps at the metacarpal level, controlling the wrist position.
Any movement of the thumb and wrist causes the patient pain, inflammation and swelling. The presence of anomalous or variant muscles in the fourth compartment may result in chronic dorsal wrist pain, a condition known as the fourth compartment syndrome. [4] Intersection syndrome can be caused by direct trauma to the second extensor compartment.
Symptomatic alleviation (palliative treatment) is provided mainly by splinting the thumb and wrist. Pain medications such as NSAIDs can also be considered. [4] [6] Steroid injections are commonly used, but are not proved to alter the natural history of the condition. [7] Surgery to release the first dorsal component is an option. [4]
This syndrome may be clinically tested by flexing the patients long finger while the patient extends the wrist and fingers. Pain is a positive finding. The chief complaint of this disease is usually pain in the dorsal aspect of the upper forearm, and any weakness described is secondary to the pain.
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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.