Finklestein’s Test is a wrist examination test that diagnoses the presence of DeQuervain’s disease or tenosynovitis of of the abductor pollicis longus and the extensor pollicis brevis tendons in people who are suffering from wrist pain.
In DeQuervain’s disease, there is irritation and inflammation of the tendons of the wrist found at the base of the thumb. Swelling and inflammation causes severe pain and reduced movement of the wrist. Swiss surgeon Fritz DeQuervain hypothesized that the two tendons into the first extensor compartment is responsible for a positive outcome of the Finklestein’s Test.
The patient should be awake and cooperative when the Finklestein’s Test is done.
- The patient should be seated and comfortable.
- Tell the patient to place one hand in the air while the other rests beside him.
- Tell the patient to make a fist with the thumb inside the fingers (ulnar deviation) with the hand in the air.
Modified Finklestein’s Test
- Patient should be seated and relaxed.
- The patient must raise the afflicted hand in the air while the other hand rests beside him.
- Grasp the afflicted hand and rotate it in ulnar deviation.
- Pull the thumb across the palm of the hand.
Positive Finklestein’s Test
Pain felt on the lateral wrist is a positive Finklestein’s Test. This could indicate tenosynovitis of the abductor pollicis longus and the extensor pollicis brevis tendons or a positive sign for DeQuervain’s disease.
Patients may often describe the pain that they feel during Finklestein’s Test as “sharp, exquisite and localized.”