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Revista Salud Uninorte
Print version ISSN 0120-5552On-line version ISSN 2011-7531
Abstract
VERGARA -AMADOR, ENRIQUE and CAMACHO CASTRO, FELIPE. Prevalence of Finkelstein's and Eichhoff's Tests in a Healthy Population. Salud, Barranquilla [online]. 2021, vol.37, n.3, pp.664-674. Epub May 09, 2022. ISSN 0120-5552. https://doi.org/10.14482/sun.37.3.616.75.
Introduction:
DeQuervain's disease is common in the working population and its diagnosis may be a challenge. Finkelstein's and Eichhoff's tests are semiological tests used for the diagnosis of this pathology, and their diagnostic performance is not clear.
The objective of this work is to determine the prevalence of the tests in a healthy, working-age population, seeking to quantify the real value of a positive finding.
Materials and methods:
It is a cross-sectional descriptive study. The sample is made up of healthy individuals, between 18 and 45 years of age, male and female, who participate voluntarily. All participants underwent both tests, and a record of the tests that were positive was taken. Also, a register of the patients who reported pain or discomfort was kept.
Results:
65 patients participated and data from 129 limbs were recorded. The average age was 26 years. The average number of daily work hours was 9.3. Finkelstein's test had a prevalence of 33.3%; Eichhoff's test of 75.2%. The only variable that was statistically significant for an increase in the risk of presenting a positive test (Eichhoff) was male sex (OR 2.4, 95% CI 1.05-5.73).
Conclusions:
Finkelstein's test is more specific than Eichhoff's, however, it is not pathognomonic for DeQuervain tenosynovitis. Eichhoff's test is not recommended for the physical examination of patients, it can be uncomfortable and cause confusion
Keywords : De Quervain disease; tendons; hand; prevalence.