Finkelstein's test

The Finkelstein test ( after Harry Finkelstein, American surgeon, 1865-1939 ) is a clinical test in orthopedics, as pathognomonic (disease characteristic ) for the tenosynovitis stenosing de Quervain ( de Quervain's disease), a chronic inflammation of the first tendon compartment of the hand applies.

The implementation was described in the original paper by Finkelstein (1930 ) as follows:

In another version, which has now become widely accepted in the literature, the thumb is wrapped in the fingers and then spread apart the hand passively in the joint for Elle back. However, the implementation of the test in this way leads to false-positive results in the diagnosis of de Quervain's disease. They came originally from a publication of calibration Hoff ( 1927). The confusion was made in a paper by Leão (1958 ), in which later other authors oriented.

Given this fact, the now common test is sometimes referred to ( with eingeschlagenem thumb) historically accurate as the calibration Hoff test and the version with Wi- thumb as the real Finkelstein test today.

298274
de