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Staged description of the Finkelstein test
Courtney Dawson1, Chaitanya S Mudgal
1Harvard Combined Orthopaedic Residency Program and Department of Orthopaedic Surgery, Harvard Medical School, Orthopaedic Hand Service, Massachusetts General Hospital, Boston, MA 02114, USA.
The Journal of Hand Surgery
|August 17, 2010
Summary
The Finkelstein test, crucial for diagnosing de Quervain
Area of Science:
- Orthopedics
- Musculoskeletal Disorders
- Diagnostic Procedures
Background:
- The Finkelstein test is a common diagnostic maneuver.
- Previous descriptions have led to confusion and potential inaccuracies.
Purpose of the Study:
- To clarify the original Finkelstein test description.
- To present a revised, staged approach for improved diagnostic accuracy and patient comfort.
Main Methods:
- Revisiting historical descriptions of the Finkelstein test.
- Implementing and evaluating a staged Finkelstein test protocol in clinical practice.
Main Results:
- Identified reasons for the erroneous evolution of the Finkelstein test description.
- The staged Finkelstein test proved reliable and minimally painful for diagnosing de Quervain's tendonitis.
Conclusions:
- A corrected, staged Finkelstein test enhances diagnostic reliability.
- This revised method offers a more comfortable and effective approach to diagnosing de Quervain's tendonitis.
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