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Elbow Special test
| Question | Answer |
|---|---|
| Ligament instability test purpose | Identify ligament laxity or restriction |
| Ligament instability test description | Pt sitting or supine. Elbow in 20-0 degree flexion. Valgus forces placed through elbow test ulnar collateral ligament. Varus forces tests radial collateral ligament |
| Ligament instability test results | primary finding is laxity but pain may be present |
| Lateral epicondylitis test (Tennis elbow test, Cozen's test) purpose | identify lateral epicondylopathy |
| Lateral epicondylitis test (Tennis elbow test, Cozen's test) description | Pt sitting with elbow 90 flexion then asked to actively make a fist, pronate the forearm, and radially deviate and extend the wrist, while the examiner resists the motion. |
| Lateral epicondylitis test (Tennis elbow test, Cozen's test) result | sudden severe pain in the area of lateral epicondyle of the humerus is a positive sign |
| Mill's test purpose | Identify lateral epicondylopathy |
| Mill's test description | while palpating the lateral epicondyle, the examiner passively pronates the pt's forearm, flexes the wrist fully, and extends the elbow. |
| Mill's test result | Pain over the lateral epicondyle of the humerus indicates a positive test |
| Maudsley's test purpose | Identify lateral epicondylopathy |
| Maudsley's test description | Examiner resists extension of the 3rd digit of the hand distal to the proximal interphalangeal joint, stressing the extensor digitorum muscle and tendon |
| Maudsley's test results | positive test is indicated by pain over the lateral epicondyle of the humerus |
| Elbow flexion test purpose | identify cubital tunnel syndome |
| Elbow flexion test description | the patient is asked to fully flex the elbow with extension of the wrist and shoulder girdle abd (90) and depression and to hold this position for 3-5 minutes. Symptoms should develop in less than 5 seconds |
| Elbow flexion test results | Tingling or paresthesia in the ulnar nerve distribution of the forearm and hand indicates a positive test. The test helps to determine whether a cubital tunnel (ulnar n) syndrome present |
| Medial epicondylitis test (Golfer's elbow test) purpose | identify medial epicondylopathy |
| Medial epicondylitis test (Golfer's elbow test) description | While the examiner palpations the patient's medial epicondyle, the patient's forearm is passively supinated and the examiner extends the elbow and wrist |
| Medial epicondylitis test (Golfer's elbow test) results | Positive sign is indicated by pain over the medial epicondyle of the humerus |
| Tinel's sign purpose | Identifies dysfunction of ulnar n at olecranon |
| Tinel's sign description | Area of the ulnar nerve in the groove is tapped |
| Tinel's sign results | positive sign: tingling sensation in ulnar n distribution of forearm and hand distal to the point of compression of the nerve. Test indicates point of regeneration of sensory fibers of a nerve. |
| Pronator teres syndrome test purpose | identify median nerve entrapment within pronator teres |
| Pronator teres syndrome test description | Pt sits with elbow flexed to 90. The eaxaminer strongly resists pronation as the elbow is extended. |
| Pronator teres syndrome test results | Tingling/paresthesia in the median n distribution in the forearm and hand indicates a positive test |
Created by:
ecosio
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