Finkelstein’s test is positive in:
**Core Concept**
Finkelstein's test is a clinical examination used to assess for De Quervain's tenosynovitis, a condition characterized by inflammation of the tendons on the thumb side of the wrist. It involves assessing for pain on specific wrist movements.
**Why the Correct Answer is Right**
The test involves the patient making a fist with their thumb tucked into their hand, followed by ulnar deviation of the wrist. This movement puts tension on the tendons of the first dorsal compartment, which are affected in De Quervain's tenosynovitis. The examiner then applies pressure over the anatomical snuff box on the radial side of the wrist, which exacerbates the pain if the tendons are inflamed. The pain is usually worse on the radial side of the wrist.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is incorrect because Finkelstein's test is not used to assess for Dupuytren's contracture, which involves nodules and cords in the palmar fascia.
**Option B:** This option is incorrect because Finkelstein's test is not used to assess for carpal tunnel syndrome, which involves median nerve compression at the wrist.
**Option C:** This option is incorrect because Finkelstein's test is not used to assess for radial tunnel syndrome, which involves radial nerve compression at the elbow.
**Clinical Pearl / High-Yield Fact**
To perform Finkelstein's test accurately, the examiner should apply firm pressure over the anatomical snuff box while the patient is in the ulnar deviation position, as this increases the tension on the affected tendons.
**Correct Answer: D. De Quervain's tenosynovitis.**