A 56-years old female presents with nocturnal pain in the right thumb, index and middle fingers for the past 3 months. All of the provocative tests can be performed except –
Correct Answer: Finkelstein's test
Description: Finkelstein&;s test is for de Quervain&;s tenosynovitis - it is a condition characterised by pain & swelling over styloid process ,it results from inflammation of common sheath of abductor pollicis longus & extensor pollicis brevis tendons . on examination, the tenderness is localised to the radial styloid process .pain is aggravated by adducting the thumb across the palm & forcing detion against resistance( finkelstein&;s test) .There may be palpable thickening of the sheath. REF:essential ohopedics, 9th edition ,Maheshwari, pg.no.303
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Orthopaedics
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