Extensor Tendon Of Thumb (Dequervains)

Inflammation of tendons, extensor pollicis brevis and longus

Symptoms

  • Sub-acute
  • Pain at base of thumb's metarcarpal
  • Worse with thumb extension
  • Interferes with pinching/grasping
  • No warmth or redness

Physical Exam Findings

  • Pain on palpation over distal radius
  • Pain at radial styloid when patient closes fingers over thumb, then examiner passively deviates wrist towards ulna (Finklestein Test)

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