The Pain Source

Patient Position

• Seated or standing
• Elbow flexed to 90° and the forearm in the neutral position

Procedure Steps

• Instruct the patient to make a fist with their thumb covered-up inside.
• Examiner gently moves the hand/wrist into ulnar deviation.

Positive Sign / Significance

• Sharp pain at the distal radial wrist = De Quervain’s tenosynovitis

Comments

• De Quervain’s tenosynovitis is an inflammation of the tendon sheath around the abductor pollicis longus (APL) and extensor pollicis brevis (EPB) tendons.
• For excellent information on the injection technique for De Quervain’s tenosynovitis, go HERE.

Related Content:

• De Quervain’s Tenosynovitis Injection – Technique and Tips
• Ultrasound – Wrist Exam
• Posterior Interosseous Nerve
• Setup – Median Motor NCS
• Bicipital Tendon Sheath Injection – Technique and Tips