Finkelstein Test: Difference between revisions
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add the purpose of this assessment technique here<br>To test for the presence of tenosynovitis of the abductor pollicic longus and extensor pollicis brevis tendons in the dorsal tunnel of the wrist.Finkelstein maneuver is a helpful test to diagnose deQuervain’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 inflammation causes the compartment (a tunnel or a sheath) around the tendon to swell and enlarge, making thumb and wrist movement painful. | add the purpose of this assessment technique here<br>To test for the presence of tenosynovitis of the abductor pollicic longus and extensor pollicis brevis tendons in the dorsal tunnel of the wrist.Finkelstein maneuver is a helpful test to diagnose deQuervain’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 inflammation causes the compartment (a tunnel or a sheath) around the tendon to swell and enlarge, making thumb and wrist movement painful. | ||
== Technique<br> | == Technique<br> == | ||
The Finkelstein test draws the tendons of the first dorsal compartment distally and causes sharp, local pain when tendon entrapment has occurred and inflammation is present. The patient is standing or seated and is instructed to make a fist with the thumb between the palm and the fingers. The examiner then stabilizes the forearm with the one hand and passively ulnerly deviates the wrist.Ask the patient if he or she feels pain radiating up the inside of his or her arm from the thumb. If the patient reports noticeable pain, the Finkelstein's Test is positive, and De Quervain syndrome is present. | |||
== Evidence == | == Evidence == | ||
Revision as of 14:30, 9 June 2009
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Purpose
[edit | edit source]
add the purpose of this assessment technique here
To test for the presence of tenosynovitis of the abductor pollicic longus and extensor pollicis brevis tendons in the dorsal tunnel of the wrist.Finkelstein maneuver is a helpful test to diagnose deQuervain’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 inflammation causes the compartment (a tunnel or a sheath) around the tendon to swell and enlarge, making thumb and wrist movement painful.
Technique
[edit | edit source]
The Finkelstein test draws the tendons of the first dorsal compartment distally and causes sharp, local pain when tendon entrapment has occurred and inflammation is present. The patient is standing or seated and is instructed to make a fist with the thumb between the palm and the fingers. The examiner then stabilizes the forearm with the one hand and passively ulnerly deviates the wrist.Ask the patient if he or she feels pain radiating up the inside of his or her arm from the thumb. If the patient reports noticeable pain, the Finkelstein's Test is positive, and De Quervain syndrome is present.
Evidence[edit | edit source]
Provide the evidence for this technique here
References
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