Validity and reliability of the finkelstein test

Cheimonidou, Areti Z; Lamnisos, Demetris; Lisacek-Kiosoglous, Anthony; Chimonas, Constantinos; Stasinopoulos, Dimitrios

doi:10.15761/tim.1000183

Cited by 5 publications

(10 citation statements)

References 23 publications

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“…Moreover, Eichoff's test has a consistently reported high false positive rate in the literature of up to 86%. 5,6,12 These shortcomings have resulted in the pursuit of alternative physical exam methods to accurately diagnose de Quervain's tenosynovitis. 10 The radial synergy test aims to address both these issues as an active exam maneuver taking advantage of the principle of muscle synergy.…”

Section: Discussionmentioning

confidence: 99%

“…All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008 (5). Informed consent was obtained from all patients for being included in the study.…”

Section: Ethical Approvalmentioning

confidence: 99%

“…2,4 However, there are many shortcomings in the commonly taught physical exam maneuvers and even some confusion regarding how they are supposed to be performed. [5][6][7] The classic physical exam test associated with de Quervain's tenosynovitis is Finkelstein's test, but there are multiple reports that many descriptions of Finkelstein's test are actually describing a different test attributed to Eichoff. [6][7][8] Specifically, a true Finkelstein's test involves the examiner "grasping the patient's thumb and quickly abducting the hand ulnarward."…”

Section: Introductionmentioning

confidence: 99%

“…10 There are also conflicting reports of false positive rates to include 0% (0 of 72 extremities) found in 1 article 6 and 47% (42 of 90 extremities) in another. 5 Eichoff's test has a passive component which also predisposes it to the issue of stressing uninvolved structures; however, its primary criticism has been a consistently reported propensity to cause false positives, with rates ranging from 11% to 86%. 5,6,10 Higher false-positive rates may lead to additional investigation with subsequent risk and 33S cost.…”

Section: Introductionmentioning

confidence: 99%

“…5 Eichoff's test has a passive component which also predisposes it to the issue of stressing uninvolved structures; however, its primary criticism has been a consistently reported propensity to cause false positives, with rates ranging from 11% to 86%. 5,6,10 Higher false-positive rates may lead to additional investigation with subsequent risk and 33S cost. In order to combat these issues, the senior author developed a completely active physical exam maneuver named the radial synergy test.…”

Section: Introductionmentioning

confidence: 99%

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The Radial Synergy Test: An Aid to Diagnose de Quervain’s Tenosynovitis

Lee

Langford

Sullivan

et al. 2021

Hand (New York, N,Y.)

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Background: Diagnosis of de Quervain’s tenosynovitis is made clinically. Finkelstein’s and Eichoff’s tests are commonly utilized examination maneuvers. Their specificity has been questioned due to a propensity to provoke pain in asymptomatic patients. Using the principle of synergism, the novel radial synergy test takes advantage of isometric contraction of the first dorsal compartment with resisted abduction of the small finger. Methods: Electromyography was performed on 3 authors and the first dorsal compartment sampled during the maneuver. Sensitivity evaluation was performed via retrospective chart review for patients diagnosed with de Quervain’s from 2013 to 2018. Inclusion criteria were documented radial synergy test, Eichoff’s test, and ≥90% pain relief after lidocaine/corticosteroid injection. We enrolled 222 patients with 254 affected extremities. Specificity evaluation was performed via a prospective cohort of volunteers undergoing radial synergy and Eichoff’s tests. Inclusion criterion was lack of preexisting wrist pain. Score > 0 on Visual Analog Scale was considered positive. We enrolled 48 volunteers with 93 tested extremities. Results: Electromyography revealed positive recruitment of the first dorsal compartment. Sensitivity of the radial synergy test was inferior to Eichoff’s test (97% vs 91%, relative risk [RR] = 0.93 [95% confidence interval [CI] = 0.89-0.97], P < .01). Specificity of the radial synergy test was superior to Eichoff’s test (99% vs 74%, RR = 1.33 [95% CI = 1.18-1.51], P < .001). Conclusions: We describe and evaluate the radial synergy test, a novel examination maneuver to aid the diagnosis of de Quervain’s. This serves as an adjunct for future diagnostic evaluations with its high specificity. Level of Evidence: Level II, diagnostic study.

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Section: Discussionmentioning

confidence: 99%

Section: Ethical Approvalmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

The Radial Synergy Test: An Aid to Diagnose de Quervain’s Tenosynovitis

Lee

Langford

Sullivan

et al. 2021

Hand (New York, N,Y.)

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A Scoping Review to Map Evidence Regarding Key Domains and Questions in the Management of Non-traumatic Wrist Disorders

Mitchell,

Fowler-Davis,

Rodgers

et al. 2024

Physiotherapy

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A scoping review to map evidence regarding key domains and questions in the management of non-traumatic wrist disorders

Mitchell,

Hamilton,

Dean

et al. 2023

Hand Therapy

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Introduction Non-traumatic wrist disorders (NTWD) are commonly encountered yet sparse resources exist to aid management. This study aimed to produce a literature map regarding diagnosis, management, pathways of care and outcome measures for NTWDs in the United Kingdom. Methods An interdisciplinary team of clinicians and academic researchers used Joanna Briggs Institute guidelines and the PRISMA ScR checklist in this scoping review. A mixed stakeholder group of patients and healthcare professionals identified 16 questions of importance to which the literature was mapped. An a-priori search strategy of both published and non-published material from five electronic databases and grey literature resources identified records. Two reviewers independently screened records for inclusion using explicit eligibility criteria with oversight from a third. Data extraction through narrative synthesis, charting and summary was performed independently by two reviewers. Results Of 185 studies meeting eligibility criteria, diagnoses of wrist pain, De Quervain’s syndrome and ulna-sided pain were encountered most frequently, with uncontrolled non-randomised trial or cohort study being the most frequently used methodology. Diagnostic methods used included subjective questioning, self-reported pain, palpation and special tests. Best practice guidelines were found from three sources for two NTWD conditions. Seventeen types of conservative management, and 20 different patient-reported outcome measures were suggested for NTWD. Conclusion Substantial gaps in evidence exist in all parts of the patient journey for NTWD when mapped against an analytic framework (AF). Opportunities exist for future rigorous primary studies to address these gaps and the preliminary concerns about the quality of the literature regarding NTWD.

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Validity and reliability of the finkelstein test

Cited by 5 publications

References 23 publications

The Radial Synergy Test: An Aid to Diagnose de Quervain’s Tenosynovitis

The Radial Synergy Test: An Aid to Diagnose de Quervain’s Tenosynovitis

A Scoping Review to Map Evidence Regarding Key Domains and Questions in the Management of Non-traumatic Wrist Disorders

A scoping review to map evidence regarding key domains and questions in the management of non-traumatic wrist disorders

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