Finkelsteins Test

Finkelstein’s test is a clinical examination used to diagnose de Quervain’s tenosynovitis, a condition characterized by inflammation of the tendons located on the thumb side of the wrist. These tendons are responsible for moving the thumb.


Here’s how Finkelstein’s test is performed:

  1. The patient makes a fist with the fingers closed over the thumb.
  2. The examiner stabilizes the patient’s forearm to prevent movement.
  3. The examiner then asks the patient to move the wrist towards the little finger side (ulnar deviation).

If pain is felt along the tendons on the thumb side of the wrist, particularly in the region where the tendons of the abductor pollicis longus and extensor pollicis brevis pass through the wrist, it is considered a positive Finkelstein’s test. This indicates irritation or inflammation of these tendons, characteristic of de Quervain’s tenosynovitis.

It’s important to note that while a positive Finkelstein’s test strongly suggests de Quervain’s tenosynovitis, additional diagnostic tests or imaging studies may be required for confirmation, and treatment options may vary based on the severity and individual circumstances of the condition.

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