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Published on Oct 7, 2015
The Finkelstein test is useful in diagnosing Quervain disease (tenosynovitis). It is performed by flexing and holding the thumb onto the palm with the help of the other fingers, and by tilting the hand in an ulnary direction. The test is positive if pain occurs in the radial styloid area. De Quervain's disease is an inflammation of the synovia on the first dorsal compartment of the carpal ligament. The synovia is crossed by some of the tendons of the thumb: abductor policis longus (APL) and extensor policis brevis (EPB). Damage any of the tendons and to the synovial at this level will generate pain and disfunction of the hand, due to the ongoing inflammatory process. The test was firs described by Harry finkelstein, an american surgeon, in 1930 The disease was described by Fritz de Quervain in 1895