Finkelstein’s Test: A Descriptive Error that Can Produce a False Positive

1992 ◽  
Vol 17 (4) ◽  
pp. 481-482 ◽  
Author(s):  
B. G. ELLIOTT
Keyword(s):  
False Positive ◽  
English Literature ◽  
Wrong Diagnosis ◽  
Finkelstein’S Test

Over the last three decades an error in performing Finkelstein’s test has crept into the English literature in both text books and journals. This error can produce a false-positive, and if relied upon, a wrong diagnosis can be made, leading to inappropriate surgery.

scholarly journals Finkelstein's Test Is Superior to Eichhoff's Test in the Investigation of de Quervain's Disease

2018 ◽  
Vol 10 (02) ◽  
pp. 116-118 ◽  
Author(s):  
Feiran Wu ◽  
Asim Rajpura ◽  
Dilraj Sandher
Keyword(s):  
Clinical Examination ◽  
False Positive ◽  
Pathologic Condition ◽  
De Quervain’S Disease ◽  
De Quervain’S Tenosynovitis ◽  
Asymptomatic Individuals ◽  
Minimum Interval ◽  
Pathognomonic Sign ◽  
Positive Results ◽  
Finkelstein’S Test

Abstract Introduction de Quervain's tenosynovitis is a common pathologic condition of the hand. Finkelstein's test has long been considered to be a pathognomonic sign of this diagnosis, yet most clinicians and instruction manuals erroneously describe what is in fact the Eichhoff's test, which is thought to produce similar pain by tendon stretching in a normal wrist. The purpose of this study was to compare Finkelstein's test with Eichhoff's test in asymptomatic individuals. Materials and Methods Thirty-six asymptomatic participants (72 wrists) were examined using both Finkelstein's and Eichhoff's tests with a minimum interval of 24 hours between the tests. Results The results showed that Finkelstein's test was more accurate than Eichhoff's test. It demonstrated higher specificity, produced significantly fewer numbers of false-positive results, and also caused significantly less discomfort to patients. Conclusion This study recommends Finkelstein's test as the clinical examination of choice for the diagnosis of de Quervain's disease.

Endometriosis With Cystic Degeneration: A Rare Disease of Males

2018 ◽  
Vol 27 (3) ◽  
pp. 311-314 ◽  
Author(s):  
Khaleel I. Al-Obaidy ◽  
Muhammad T. Idrees
Keyword(s):  
English Literature ◽  
Cystic Mass ◽  
Cystic Degeneration ◽  
Tunica Vaginalis ◽  
Patients Âgés ◽  
Rare Lesion ◽  
Wrong Diagnosis ◽  
Hormonal Exposure ◽  
Male Patients ◽  
Significant Chemical

Endometriosis in men is extremely rare with only a few cases reported in the English literature. Different theories have been proposed as to its origin. In this article, we describe the clinicopathologic features of 2 cases of endometriosis occurring in male patients. The patients’ ages were 50 and 43 years, and sizes were 2 and 5.2 cm, respectively. No significant chemical or hormonal exposure was identified. Both patients presented with a testicular mass. Grossly, both lesions were cystic and contained hemorrhagic fluid. Microscopic examination revealed cysts and occasional glands lined by low columnar to cuboidal epithelium, surrounded by spindle cell stroma with abundant hemosiderin-laden macrophages reminiscent of endometrium. One case was predominantly intratesticular, with a minute focus of endometrial-type glands and spindled stroma within the tunica vaginalis. Focal chronic inflammation and epithelial denudation were present in both cases. The surrounding testicular and epididymal structures adjacent to the cystic mass were unremarkable. In summary, endometriosis is an extremely rare lesion in men. The presence of these lesions in both cases along the route of the Müllerian duct supports the theory that these lesions arise from embryonic remnants. Awareness of this entity is crucial for general pathologists to avoid wrong diagnosis and unnecessary management.

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