Finkelstein's test

src: i.ytimg.com

The Finkelstein test and Eichoff maneuver , is a similar test used to diagnose Quervain de tenosynovitis in people with wrist pain. The test is usually described as a grasping examiner and the ulnar deviates hands when the person has their thumbs held in their fist. If sharp pain occurs along the distal radius (the upper part of the forearm, close to the wrist, see picture), the possibility of tenosynovitis from Quervain.

The classic feature of the Finkelstein test is when the tester catches the thumb and the ulnar deviates hands sharply. The Eichhoff test is usually confusing with the Finkelstein test. But the Eichhoff test can produce false-positive results, while the Finkelstein tests performed by skilled practitioners are unlikely to produce false positives.

Video Finkelstein's test

Destination

The Finkelstein test is one way to determine if there is tenosynovitis in the abductor pollicis longus and extensor polysis brevis tendon of the wrist. Both of these tendons belong to the first dorsal compartment.

• First dorsal compartment: abductor pollicis longus and extensor pollicis brevis.
• Second dorsal compartment: extensor carpi radialis longus and extension carpi radialis brevis.
• Third dorsal compartment: extensor pollicis longus.
• The fourth dorsal compartment: extensor digitorum and extensor indicis.
• The fifth dorsal compartment: extensor digiti minimi.
• The sixth dorsal compartment: extensor carpi ulnaris.

Maps Finkelstein's test

History

The Finkelstein test was described by Harry Finkelstein (1865-1939), an American surgeon, in 1930. 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 then ulnar deviates (see the second image), causing severe pain to the radial styloid that disappears if the thumb is released. This test yields more false positive results than the tests described by Finkelstein.

src: i.ytimg.com

Method

The examiner draws the patient's thumb in ulnar deviation and longitudinal traction. If there is increased pain in the radial styloid process and along the length of the extensor pollicis brevis and abductor pollicis longus tendon, then the test is positive for de Quervain's syndrome.

src: upload.wikimedia.org

Special considerations

The Eichhoff test is generally incorrectly labeled as a Finkelstein test. This is important because the Eichhoff test can cause pain in other tissues to return false positives or may return negative even though de Quervain syndrome is still suspected, patients may radically deviate against resistance to the possibility of reproducing pain. If done correctly by the testers, the Finkelstein test does not give false positives.

src: 3.bp.blogspot.com

References

Konin, Jeff G., Denise L. Wiksten, Jerome A. Isear, and Holly Brader. Special Test for Orthopedic Examination . 3rd edition. Thorofare, NJ: SLACK Incorporated. 2006. 113-114. Print.

Starkey, Chad, Sara D. Brown, dan Jefferey L. Ryan. Buku Panduan Evaluasi Cedera Ortopedi dan Atletik . Philadelphia: F.A. Davis. 2010. 524. Cetak.

Source of the article : Wikipedia