Finkelstein's Test
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Finkelstein's Test
Finkelstein's test is a test used to diagnose de Quervain's tenosynovitis in people who have wrist pain. Classical descriptions of the Finkelstein's test are when the examiner grasps the thumb and ulnar deviates the hand sharply. If sharp pain occurs along the distal radius (top of forearm, close to wrist; see image), de Quervain's tenosynovitis is likely. Finkelstein's test is commonly confused with Eichhoff's test: the Eichhoff's test is typically described as the examiner grasping and ulnar deviating the hand when the person has their thumb held within their fist. If sharp pain occurs along the distal radius, Quervain's tenosynovitis is suspected. Eichhoff's test may produce false positive results, while a Finkelstein's test performed by a skilled practitioner is unlikely to produce a false positive. Purpose Finkelstein's test is one way to determine if there is tenosynovitis in the abductor pollicis longus and extensor pollicis brevis tendons of the wrist. These two ten ...
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Extensor Carpi Radialis Longus
A hand is a prehensile, multi-fingered appendage located at the end of the forearm or forelimb of primates such as humans, chimpanzees, monkeys, and lemurs. A few other vertebrates such as the koala (which has two opposable thumbs on each "hand" and fingerprints extremely similar to human fingerprints) are often described as having "hands" instead of paws on their front limbs. The raccoon is usually described as having "hands" though opposable thumbs are lacking. Some evolutionary anatomists use the term ''hand'' to refer to the appendage of digits on the forelimb more generally—for example, in the context of whether the three digits of the bird hand involved the same homologous loss of two digits as in the dinosaur hand. The human hand usually has five digits: four fingers plus one thumb; these are often referred to collectively as five fingers, however, whereby the thumb is included as one of the fingers. It has 27 bones, not including the sesamoid bone, the number of whi ...
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Harry Finkelstein
Harry may refer to: TV shows * ''Harry'' (American TV series), a 1987 American comedy series starring Alan Arkin * ''Harry'' (British TV series), a 1993 BBC drama that ran for two seasons * ''Harry'' (talk show), a 2016 American daytime talk show hosted by Harry Connick Jr. People and fictional characters * Harry (given name), a list of people and fictional characters with the given name * Harry (surname), a list of people with the surname * Dirty Harry (musician) (born 1982), British rock singer who has also used the stage name Harry * Harry Potter (character), the main protagonist in a Harry Potter fictional series by J. K. Rowling Other uses * Harry (derogatory term), derogatory term used in Norway * ''Harry'' (album), a 1969 album by Harry Nilsson *The tunnel used in the Stalag Luft III escape ("The Great Escape") of World War II * ''Harry'' (newspaper), an underground newspaper in Baltimore, Maryland See also *Harrying (laying waste), may refer to the following historical ...
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Extensor Carpi Ulnaris
In human anatomy, the extensor carpi ulnaris is a skeletal muscle located on the ulnar side of the forearm. The extensor carpi ulnaris acts to extend and adduct at the carpus/wrist from anatomical position. Being an extensor muscle, extensor carpi ulnaris is located on the posterior side of the forearm. Origin and insertion It originates from the lateral epicondyle of the humerus and the posterior border of the ulna, and crosses the forearm to the ulnar (medial) side to insert at the base of the 5th metacarpal. Action The extensor carpi ulnaris extends the wrist, but when acting alone inclines the hand toward the ulnar side; by its continued action it extends the elbow-joint. The muscle is a minor extensor of the carpus in carnivores, but has become a flexor in ungulates. In this case it would be described as ''ulnaris lateralis''. Innervation Despite its name, the extensor carpi ulnaris is innervated by the posterior interosseous nerve (C7 and C8), the continuation of the dee ...
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Extensor Digiti Minimi
The extensor digiti minimi (extensor digiti quinti proprius) is a slender muscle of the forearm, placed on the ulnar side of the extensor digitorum communis, with which it is generally connected. It arises from the common extensor tendon by a thin tendinous slip and frequently from the intermuscular septa between it and the adjacent muscles. Its tendon passes through a compartment of the extensor retinaculum, posterior to distal radio-ulnar joint, then divides into two as it crosses the dorsum of the hand, and finally joins the extensor digitorum tendon. All three tendons attach to the dorsal digital expansion of the fifth digit (little finger). There may be a slip of tendon to the fourth digit. Variations An additional fibrous slip from the lateral epicondyle; the tendon of insertion may not divide or may send a slip to the ring finger. Absence of muscle rare; fusion of the belly with the extensor digitorum communis The extensor digitorum muscle (also known as extensor dig ...
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Extensor Indicis
In human anatomy, the extensor indicis roprius'' is a narrow, elongated skeletal muscle in the deep layer of the dorsal forearm, placed medial to, and parallel with, the extensor pollicis longus. Its tendon goes to the index finger, which it extends. Structure It arises from the distal third of the dorsal part of the body of ulna and from the interosseous membrane. It runs through the fourth tendon compartment together with the extensor digitorum, from where it projects into the dorsal aponeurosis of the index finger. Opposite the head of the second metacarpal bone, it joins the ulnar side of the tendon of the extensor digitorum which belongs to the index finger. Like the extensor digiti minimi (i.e. the extensor of the little finger), the tendon of the extensor indicis runs and inserts on the ulnar side of the tendon of the common extensor digitorum. The extensor indicis lacks the juncturae tendinum interlinking the tendons of the extensor digitorum on the dorsal side of th ...
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Extensor Digitorum
The extensor digitorum muscle (also known as extensor digitorum communis) is a muscle of the posterior forearm present in humans and other animals. It extends the medial four digits of the hand. Extensor digitorum is innervated by the posterior interosseous nerve, which is a branch of the radial nerve. Structure The extensor digitorum muscle arises from the lateral epicondyle of the humerus, by the common tendon; from the intermuscular septa between it and the adjacent muscles, and from the antebrachial fascia. It divides below into four tendons, which pass, together with that of the extensor indicis proprius, through a separate compartment of the dorsal carpal ligament, within a mucous sheath. The tendons then diverge on the back of the hand, and are inserted into the middle and distal phalanges of the fingers in the following manner.''Gray's anatomy'' (1918), see infobox Opposite the metacarpophalangeal articulation each tendon is bound by fasciculi to the collateral ligaments an ...
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Extensor Pollicis Longus
In human anatomy, the extensor pollicis longus muscle (EPL) is a skeletal muscle located dorsally on the forearm. It is much larger than the extensor pollicis brevis, the origin of which it partly covers and acts to stretch the thumb together with this muscle. Structure The extensor pollicis longus arises from the dorsal surface of the ulna and from the interosseous membrane, next to the origins of abductor pollicis longus and extensor pollicis brevis. Passing through the third tendon compartment, lying in a narrow, oblique groove on the back of the lower end of the radius,''Gray's Anatomy'' 1918, see infobox it crosses the wrist close to the dorsal midline before turning towards the thumb using Lister's tubercle on the distal end of the radius as a pulley. It obliquely crosses the tendons of the extensores carpi radialis longus and brevis, and is separated from the extensor pollicis brevis by a triangular interval, the anatomical snuff box in which the radial artery is found. ...
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Extensor Carpi Radialis Brevis
In human anatomy, extensor carpi radialis brevis is a muscle in the forearm that acts to extend and abduct the wrist. It is shorter and thicker than its namesake extensor carpi radialis longus which can be found above the proximal end of the extensor carpi radialis brevis. Origin and insertion It arises from the lateral epicondyle of the humerus, by the common extensor tendon; from the radial collateral ligament of the elbow-joint; from a strong aponeurosis which covers its surface; and from the intermuscular septa between it and the adjacent muscles.''Gray's Anatomy'' 1918, see infobox The fibres end approximately at the middle of the forearm in the form of a flat tendon, which is closely connected with that of the extensor carpi radialis longus, and accompanies it to the wrist; it passes beneath the abductor pollicis longus and extensor pollicis brevis, beneath the extensor retinaculum, and inserts into the lateral dorsal surface of the base of the third metacarpal bone, with ...
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Extensor Tendon Compartments Of The Wrist
Extensor tendon compartments of the wrist are anatomical tunnels on the back of the wrist that contain tendons of muscles that extend (as opposed to flex) the wrist and the digits (fingers and thumb). The extensor tendons are held in place by the extensor retinaculum. As the tendons travel over the posterior (back) aspect of the wrist they are enclosed within synovial tendon sheaths. These sheaths reduce the friction to the extensor tendons as they traverse the compartments that are formed by the attachments of the extensor retinaculum to the distal (far end) of the radius and ulna. Structure The compartments are numbered with each compartment containing specific extensor tendons. Clinical significance Any of the dorsal compartments of the wrist can develop tenosynovial inflammation. The first compartment is the most frequently affected site, called De Quervain's disease (syndrome or tenosynovitis). The other two most commonly injured are the sixth (extensor carpi ulnaris) a ...
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Finkelstein Test Arrow
Finkelstein ( he, פֿינק(ע)לשׁטײַן or , russian: Финкельштейн) is a German and Yiddish surname originating from Old High German ''funko'' (spark) and ''stein'' (stone). ''Fünkelstein'' meant pyrite The mineral pyrite (), or iron pyrite, also known as fool's gold, is an iron sulfide with the chemical formula Fe S2 (iron (II) disulfide). Pyrite is the most abundant sulfide mineral. Pyrite's metallic luster and pale brass-yellow hue giv ... (George J. Adler A Dictionary of the German and English Languages, 1848). The Yiddish version of pyrite, ''finkelstein'', could have denoted ''bareketh'', one of the Twelve Stones, 12 tribe stones of Priestly breastplate, High Priest's breastplate (Exodus 28: Notable people Notable people with the surname include: * Abraham Finkelstein alias Arthur Fields (1884–1953), American singer and songwriter * Amy Finkelstein (born 1973), American professor of economics * Anthony Finkelstein (born 1959), British software ...
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Extensor Pollicis Brevis
In human anatomy, the extensor pollicis brevis is a skeletal muscle on the dorsal side of the forearm. It lies on the medial side of, and is closely connected with, the abductor pollicis longus. The extensor pollicis brevis (EPB) belongs to the deep group of the posterior fascial compartment of the forearm. It is a part of the lateral border of the anatomical snuffbox. Structure The extensor pollicis brevis arises from the ulna distal to the abductor pollicis longus, from the interosseous membrane, and from the dorsal surface of the radius. Its direction is similar to that of the abductor pollicis longus, its tendon passing the same groove on the lateral side of the lower end of the radius, to be inserted into the base of the first phalanx of the thumb. Variation Absence; fusion of tendon with that of the extensor pollicis longus or abductor pollicis longus muscle. Function In a close relationship to the abductor pollicis longus, the extensor pollicis brevis both exten ...
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