Stephen J. Schueler, M.D.

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Thumb Tenosynovitis Evaluation

The evaluation of Dequervain's tenosynovitis begins with a history and physical examination.

Physical findings in those with Dequervain's tenosynovitis include:

  • Tenderness along the top of the thumb where it joins the wrist
  • Swelling along the top of the thumb where it joins the wrist
  • Finkelstein test: in this test, the patient grasps the thumb in the palm of the hand and the examiner flexes the wrist joint over toward the little finger. This stretches the thumb extensor tendons and causes increasing pain.

The diagnosis of Dequervain's tenosynovitis can usually be made without testing.

Tests that may be used to evaluate Dequervain's tenosynovitis include:

Continue to Thumb Tenosynovitis Treatment

Last Updated: Dec 9, 2010 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Thumb Tenosynovitis References
  1. Ilyas A, Ast M, Schaffer AA, Thoder J. De quervain tenosynovitis of the wrist. J Am Acad Orthop Surg. 2007 Dec;15(12):757-64. [18063716]
  2. Pascarelli EF, Hsu YP. Understanding work-related upper extremity disorders: clinical findings in 485 computer users, musicians, and others. J Occup Rehabil. 2001 Mar;11(1):1-21. [11706773]
  3. Rumball JS, Lebrun CM, Di Ciacca SR, Orlando K. Rowing injuries. Sports Med. 2005;35(6):537-55. [15974636]
  4. Schoffl VR, Schoffl I. Finger pain in rock climbers: reaching the right differential diagnosis and therapy. J Sports Med Phys Fitness. 2007 Mar;47(1):70-8. [17369801]
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