A Question A Day (W5D2)

1. Finkelstein test
2. Ask the patient to make a fist by fully flexing the thumb into the fingers. Then the examiner
stabilizes the forearm and deviates the wrist towards to the ulnar side. Compare the pain if
any on the affected side to that of the normal side. Positive if pain / tingling sensation felt at
the lateral distal radial side.
3. De Quervain’s tenosynovitis
4. Osteoarthritis of the trapeziometacarpal joint
5. Important tro other ddx with bony lesions. In plain radiograph, if the diagnosis is as such,
there will be soft tissue swelling over the radial styloid. Over time in a chronic presentation,
cortical erosion and sclerosis of the radial styloid can occur.