Symptoms
Symptoms are pain, tenderness, and swelling over the thumb side of the wrist, and difficulty gripping.
Finkelstein's test is used to diagnose de Quervain syndrome in people who have wrist pain. To perform the test, the examining physician grasps the thumb and the hand is ulnar deviated sharply, as shown in the image. If sharp pain occurs along the distal radius (top of forearm, about an in inch below the wrist; see image), DeQuervain's syndrome is likely.
Differential diagnosis includes ruling out:
- Osteoarthritis of the first carpo-metacarpal joint
- Intersection syndrome—pain will be more towards the middle of the back of the forearm and about 2–3 inches below the wrist
- Wartenberg's syndrome
Read more about this topic: De Quervain Syndrome
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