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239 Possible Causes for Thumb Deviation

  • De Quervain Tenosynovitis

    Worsened with thumb movement. Finkelstein test pain in 1st compartment when wrist is ulnarly deviated with thumb flexed in palm.[] In almost all cases, there is a history of repetitive forceful gripping coupled with ulnar deviation or repetitive use of the thumb.[] Thumb up position - for thumb extension and abduction strength Resisted radial deviation In thumb up position Resisted supination In thumb up position Resisted thumb opposition[]

  • Arthritis

    Late changes include: subchondral cyst formation: the destruction of cartilage presses synovial fluid into the bone subluxation causing: ulnar deviation of the MCP joints[] […] boutonniere and swan neck deformities hitchhiker’s thumb deformity carpal instability : scapholunate dissociation, ulnar translocation ankylosis Feet similar to the hands,[]

  • Supination Injury

    There may be a positive Finkelsteins test (the thumb is placed in the palm of the hand with flexion of the MCP and IP joints, while the wrist is deviated in the ulnar direction[]

  • Tenosynovitis of the Wrist

    Finally, hold the weights with your thumbs up, so your palms face each other, and repeatedly bend your wrists so your thumbs point toward your body--radial deviation--and[] . [7] It’s caused by repetitive use of the thumb in combination with radial deviation of the wrist.[] Forceful ulnar deviation of the wrist reproduces dorsolateral wrist pain. This test is characteristic in de Quervain’s disease.[]

  • Median Neuropathy

    […] the thumb; - sensory distribution includes thumb, radial 2 1/2 fingers, and corresponding portion of palm. - w/ intact nerve, thumb can be pronated, lining up nails at or[] . - Exam: - signs of a median nerve lesion include weak pronation of the forearm, weak flexion & radial deviation of wrist, with thenar atrophy & inability to oppose or flex[]

  • Triangular Fibrocartilage Complex Disorder

    ) and then towards your thumb (radial deviation), as well as twisting of the wrist will be given.[] ), fingers/thumb (flexion / extension), forearm (pronation / supination), elbow (flexion/extension) Tendon Glide exercises – differentiate wrist from finger tendons, increase[] These tests include hypersupination (overly rotating the forearm in a palm-up position), loading the wrist in a position of ulnar deviation (moving wrist away from the thumb[]

  • Colles' Fracture

    . • Step-2:Press the distal fragment into palmar flexion and ulnar deviation by using thumb of other hand. • Step-3:Now hand is drawn into pronation, palmar flexion and ulnar[] Ask the patient to hyperextend the thumb with the wrist slightly deviated in the radial aspect.[] Use both thumbs to push the distal fragment into alignment as the arm is pronated.[]

  • Carpal Instability

    Applying thumb pressure to the scaphoid tuberosity, the wrist is returned to radial deviation, maintaining the thumb pressure on the scaphoid tuberosity.[] In ulnar deviation or extension the scaphoid elongates to fill the space between the radial styloid and the base of the thumb (the trapezium).[] In order to perform this test, the clinician’s thumb presses on the scaphoid tuberosity.[]

  • Joint Dislocation

    Functional cast immobilization of thumb metacarpophalangeal joint injuries. Fractures at the base of the thumb: treatment with oblique traction.[] […] collateral ligaments - accessory collateral ligament and the volar plate; - intrinsic muscles inserting into sesamoids , proximal phalanx, and extensor apparatus; - joint deviates[]

  • Arthrocentesis

    The Finkelstein test is performed by having the patient make a fist with the thumb inside while simultaneously ulnar deviating the hand.[]

Further symptoms