Name: Finkelstein Test
Uploaded: 2024-05-31T00:00:00.0000000
Duration: T00H02M20S
Description: Finkelstein Test

Name: Finkelstein Test

Description: Finkelstein Test

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Duration: T00H02M20S

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Content URL: https://cadmoreoriginalmedia.blob.core.windows.net/6f2fc029-4bb2-4db3-ae82-3ba9a96c8f17/Finkelstein Test.mp4?sv=2019-02-02&sr=c&sig=PCGdzChwa1XZ%2BaitcpElYYqrBj%2BZX54F1wiRdlSCpgs%3D&st=2024-11-21T15%3A04%3A07Z&se=2024-11-21T17%3A09%3A07Z&sp=r

Upload Date: 2024-05-31T00:00:00.0000000

Transcript: Language: EN.
Segment:0 .
DR VINAY SINGH: Hello, viewers, today I'm going to show you a test, which is called Finkelstein test, which is positive for a condition called De Quervain's disease. It is a swelling or tenosynovitis of the first compartment of the extensor tendons. So the patient will complain of, usually, pain across here, and I will show you how to diagnose it. So, in our clinic, we have a 30-year-old female who has been complaining of pain across the dorsal radial aspect of the wrist for the last one month.
DR VINAY SINGH: So, if you notice here, you can see a lot of swelling in this area. So this is the first giveaway sign that this patient may be having De Quervain's disease. So - the first - De Quervain's disease involves the first compartment tendon that is abductor pollicis longus and extensor pollicis brevis. So, what is the Finkelstein test? In a Finkelstein test, there are many ways to do it.
DR VINAY SINGH: But the first thing that you should do is, when you try to flex the tendon, and as I flex the tendon, you can see the patient is trying to withdraw the hand and she's experiencing pain. And that is a positive sign. If [the] patient doesn't have pain on flexion, then you ask patient to grip the thumb and then try to do ulnar deviation.
DR VINAY SINGH: And you can see the patient is in a lot of discomfort and that is a positive test for De Quervain's disease. So, just to reinforce, if you're doing a Finkelstein test, just try to flex the thumb first. And, merely by doing this, if the patient has severe symptoms, the patient will complain of pain and symptoms. That is a positive test. Otherwise, if the patient is not experiencing pain, then ask the patient to grip their thumb and then do the ulnar deviation and that will stretch the tendon and that causes pain and that is a positive test.
DR VINAY SINGH: So this was our description of the Finkelstein test, which is positive in De Quervain's disease. Do like this video, do subscribe to our channel, and do share our channel.

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