MSK term 3 week 7 elbow special test

Question 1

finding the UCL

Answer 1

bend elbow, palpate medial epi, then move a lil bit distally

Question 2

stability test, valgus and varus stress testing

Answer 2

@ 0 degree, not hyper
@ 20 degrees
pronate them (decreases carrying angle, reduces vektor of motion)
place wrist between elbow and body
with both hands give a lil shake to make laxity
then top hand will give valgus and varus stretch/tension

Question 3

UCL injury possibly, anterior bundle?
moving valgus stress test

Answer 3

pt @ 90 90
be in front or off to the side
move arm through arc of motion like throwing a ball
this will stress inside of elbow
push elbow anteriorly slightly
while performing 70-100 degrees of flexion

Question 4

milking maneuver , UCL stress test

Answer 4

pt in supine
they at 90 90
they rest in pit of your forearm
supinate them a bit
grab their thumb
extend your own elbow
making ER of their arm
our elbow will push them in a valgus (their elbow will move anterior)

Question 5

LCL push off test , lateral elbow rotary instability or a posterior lateral rotary instability and possibly a dislocation

Answer 5

pt seated
supinate hands along hips, flat on table
“push themselves off table”
how elbow dislocations occur, you land with an axial load in supination and a posterior force, and the radius may dislocate or the ulna may dislocate posteriorly
total instability and no ligament integrity, will dislocate
partial damage, may feel a clunk or pain or apprehension

Question 6

cozens sign, active test
lateral epicondylagia

Answer 6

they are at 90 degrees elbow flexion at side
they resist you trying to move their hand out of extension and they resist you trying to move their elbow into elbow extension
they will try and stay in wrist extension and elbow flexion
testing the ability of the wrist extensors to maintain position

Question 7

mills test, passive test
lateral epicondylagia

Answer 7

they will stretch their extensors while in elbow extension and pronation
they can do it or we can do it passively
they report pain in lateral epicondyle

Question 8

Maudsleys test, 3rd digit
extensor carpi radialis brevis as source of lat epicondylagia

Answer 8

resisted 3rd digit extension
they will extend their arm forward
if lateral elbow pain positive

Question 9

medial epicondyle shear test , active test
medial epicondylitis 1

Answer 9

seated
supinate and slightly flexed pt position
their palm is facing ceiling
they will try and maintain a wrist flexed position
they will try and maintain a slightly elbow flexed position
you will try and actively pull them out
if they have medial pain, positive

Question 10

medial epicondylitis test 2, passive test

Answer 10

they stretch their wrist flexors in elbow straightened position
either PT or pt

Question 11

distal biceps tendon special test
hook test

Answer 11

supinate arm
gentle ISO into elbow flexion
then hook bicep tendon moving medially to lateral
Can you palpate it
palpation of tendon: apparent or not apparent

Question 12

biceps squeeze test

Answer 12

pt in slight pronation
should see a slight supinate

Question 13

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