Which physical findings suggest de Quervain tenosynovitis?

Updated: Oct 25, 2017
  • Author: Mark R Foster, MD, PhD, FACS; Chief Editor: Harris Gellman, MD  more...
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Answer

Clinical features include the following:

  • Pain occurs on palpation along the radial aspect of the wrist
  • Pain occurs with passive ROM of the thumb
  • Pain occurs with ulnar deviation of the wrist with the thumb cupped in a closed fist; this is termed the Finkelstein test (see the image below)
The Finkelstein test is performed by having the pa The Finkelstein test is performed by having the patient make a fist with the thumb inside the fingers. The clinician then applies ulnar deviation of the wrist to reproduce the presenting symptoms of dorsolateral wrist pain.

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