elbow tests Flashcards
(11 cards)
cozens test
lateral epicondylitis. the elbow is stabilised in 90° flexion. The therapist palpates the lateral epicondyle and the other hand of the therapist positions the patient’s hand into radial deviation and forearm pronation. Then the patient is asked to resist wrist extension. The test is positive if the patient experiences a sharp, sudden, severe pain over the lateral epicondyle.[29] [30][[31] High sensitivity [8] [32] has been found with positive findings suggesting the presence
maudsley test
examiner resists extension of the third digit of the hand, while palpating the lateral epicondyle. A positive test is indicated by pain over the lateral epicondyle.[4][33]An 88% sensitivity has been found for including the LET diagnosis but not excluding it with confidence.
valgus testing
ess the integrity of the medial collateral ligament, also known as the ulnar collateral ligament. he patients elbow in approximately 20 degrees of flexion while palpating the medial joint line and stabilizing the distal humerus with one hand and applying a valgus stress to the elbow with the other hand.[1][2] The test is considered positive if the patient experiences pain or excessive laxity is noted compared to the contralateral side.[3] As with the varus stress test, this test can be repeated in varying degrees of elbow extension to test different portions of the MCL
varus stress test
assess the integrity of lateral collateral ligament. ne. The therapist then applies a varus force to the elbow. This test is considered positive if the patient experiences pain or excessive laxity is noted and compared to the contralateral side.[1] The test can be repeated in varying degrees of elbow flexion, but generally it is positioned between 5 and 30 degrees.
postero-lateral elbow instability: stand up/chair push
lateral collateral ligament and lateral ulnar collateral ligament. elbos 90, hold armrest, abd and sup, push down and rise from chair + when pain increases as elbow goes into ext
cubital tunnel syndrome
ulnar nerve compression. pts sits w/ elbow fully flexed w/ forearm in sup and wrist in neutral for 1 min ++ sign paresthesia w/ ulnar nerve
tinels test
ulnar nerve compression. taps ulnar nerve in groove repeats 4-6 times, ++ paresthesia
median nerve compression: pinch grip
++ if pt is unable to pinch distal interphalangeal joints of index finger and thumb
median nerve compression: pronator syndrome
elbow 90 flex, resists pronation as elbow is extended ++ tingling in distribution of median nerve
radial nerve compression: radial tunnel syndrome
ID w/ pain 2-3 cm distal to the common extensor origin w/ sustained pressure
radial nerve compression: posterior interosseous nerve syndrome
lat elbow pain and weakness in wrist extensors and ulnar deviators of wrist, radial deviation intact, reproduced supination