Which physical findings suggest de Quervain tenosynovitis?

Updated: Nov 22, 2019
  • 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)
Finkelstein test is performed by having patient ma Finkelstein test is performed by having patient make fist with thumb inside fingers. Clinician then applies ulnar deviation of wrist to reproduce presenting symptoms of dorsolateral wrist pain.

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