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Finkelstein's test is a test used to diagnose de Quervain's tenosynovitis in people who have wrist pain. [1] Classical descriptions of the Finkelstein's test are when the examiner grasps the thumb and ulnar deviates the hand sharply. [1] If sharp pain occurs along the distal radius (top of forearm, close to wrist; see image), de Quervain's ...
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Treatment for de Quervain tenosynovitis focuses on reducing inflammation, restoring movement in the thumb, and maintaining the range of motion of the wrist, thumb, and fingers. [6] Symptomatic alleviation (palliative treatment) is provided mainly by splinting the thumb and wrist. Pain medications such as NSAIDs can also be considered.
The first compartment is the most frequently affected site, called De Quervain's disease (syndrome or tenosynovitis). The other two most commonly injured are the sixth (extensor carpi ulnaris) and second (intersection syndrome) compartments. The first compartment is the site where entrapment tendinitis, better known as De Quervain's disease ...
Infectious tenosynovitis is the infection of closed synovial sheaths in the flexor tendons of the fingers. It is usually caused by trauma, but bacteria can spread from other sites of the body. Although tenosynovitis usually affects the flexor tendon of the fingers, the disease can also affect the extensor tendons occasionally. [5]
Tendinopathy in the wrist (extensor) or thumb (De Quervain syndrome) Inflammatory arthritis; Rheumatoid arthritis; The hallmark symptom of carpal tunnel syndrome is tingling (paresthesia), which is not commonly associated with pain. [2] Ulnar nerve entrapment at Guyon's canal causes weakness in specific muscles, but is not typically painful. [2]
Tendinopathy is a type of tendon disorder that results in pain, swelling, and impaired function. [2] The pain is typically worse with movement. [2] It most commonly occurs around the shoulder (rotator cuff tendinitis, biceps tendinitis), elbow (tennis elbow, golfer's elbow), wrist, hip, knee (jumper's knee, popliteus tendinopathy), or ankle (Achilles tendinitis).
RSIs are assessed using a number of objective clinical measures. These include effort-based tests such as grip and pinch strength, diagnostic tests such as Finkelstein's test for De Quervain's tendinitis, Phalen's contortion, Tinel's percussion for carpal tunnel syndrome, and nerve conduction velocity tests that show nerve compression in the wrist.