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Finkelstein's test

Indications: - assessment of de Quervain's tenosynovitis (or perhaps tenosynovitis in general) Physical examination: different desriptions - pain over the distal radius with tucking the thumb inside the other fingers & moving the wrist into ulnar deviation - pain intensified by ulnar flexion of the wrist with thumb folded into the palm & fingers flexed over thumb - patient opens hand loosely, then grasps her thumb & uses it to deviate her hand in the ulnar direction towards the 5th finger [4] * positive Finkelstein's sign also noted in a case of tenosynovitis due to disseminated gonococcus [3]

Related

de Quervain's tenosynovitis (stenosing tenosynovitis)

General

physical examination technique

References

  1. Saunders Manual of Medical Practice, Rakel (ed), WB Saunders, Philadelphia, 1996, pg 743
  2. Clyman M. In: Intensive Course in Geriatric Medicine & Board Review, Marina Del Ray, CA, Sept 25-28, 2002
  3. Medical Knowledge Self Assessment Program (MKSAP) 17, American College of Physicians, Philadelphia 2015
  4. NEJM Knowledge+ Rheumatology