Elbow and Wrist Assessment Flashcards
Lateral Collateral Ligament - Special Tests (3)
Varus stress test
Chair push up test (posterolateral instability)
Gravity assisted varus stress
Medial Collateral Ligament - Special Tests (2)
Valgus stress test
Moving valgus stress test
Posterolateral Rotatory Instability - Special Test
Chair push up test
Posteromedial Rotatory Instability - Special Test
Gravity assisted varus test
Lateral Epicondyle Tendinopathy (Tennis Elbow) - Special Tests (3)
Cozen test
Maudsley’s test
Mills test
Medial Epicondyle Tendinopathy (Golfer’s Elbow) - Special Test
Reverse cozen test
Ulnar Nerve Entrapment - Special Tests (2)
Tinel’s sign
Elbow flexion test
Carpal tunnel Syndrome - Special Tests (2+1)
Tinel’s sign
Phalen’s test
Flick sign
Triangular Fibrocartilage Complex (TFCC) - Special Tests (2)
Load test
Chair press test
De Quarvains - Special Test
Finkelstein test
OA - Special Test
OA 1st carpometacarpal test
Mill’s Test - Structure/Pathology, Positive signs, Sensitivity/Specificity
Lateral elbow tendinopathy (tennis elbow).
Pain reproduced on lateral side of elbow.
Specific (rule in).
Cozen Test - Structure/Pathology, Positive signs, Sensitivity/Specificity
Common tendon of wrist extensors, lateral elbow tendinopathy (tennis elbow).
Reproduction of pain on lateral side of elbow.
Sensitive (rule out).
Maudsley’s Test - Structure/Pathology, Positive signs.
Common tendon of wrist extensors, lateral elbow tendinopathy (tennis elbow).
Positive if pain is reproduced on lateral epicondyle.
Reverse Cozen Test - Structure/Pathology, Positive signs, Sensitivity/Specificity
Common tendon of wrist flexors, medial elbow tendinopathy (golfer’s elbow).
Positive if pain is reproduced on medial side of elbow.
Sensitive (rule out).
Tinel’s Sign at the Elbow - Structure/Pathology, Positive signs.
Ulnar nerve, entrapment, cubital tunnel syndrome.
Weakness, numbness, pins and needles along the ulnar nerve (medial side of palm and last 1,5 fingers).
Elbow Flexion Test - Structure/Pathology, Positive signs.
Ulnar nerve, neuropathy, entrapment in cubital tunnel.
Pins, needles, numbness along ulnar nerve (medial side of palm, last 1,5 fingers).
Valgus Stress Test - Structure/Pathology, Positive signs.
Medial collateral ligament (sprain, instability).
Reproduction of pain on medial epicondyle.
Moving Valgus Stress Test - Structure/Pathology, Positive signs, Sensitivity/Specificity
Medial Collateral Ligament (sprain, instability).
Reproduction of pain at MCL and maximum pain between 120° and 70° (shear angle).
Sensitive (100%), Specific (75%).
Varus Stress Test - Structure/Pathology, Positive signs.
Lateral Collateral Ligament, assessing integrity.
Pain on lateral side of elbow and excessive laxity compared to the other side.
Gravity Assisted Varus Stress Test - Structure/Pathology, Positive signs.
Lateral collateral ligament, varus posteromedial rotatory instability.
Pain, grinding, feeling of instability during ROM in VPMI.
Chair Push Up Test - Structure/Pathology, Positive signs, Sensitivity/Specificity
Lateral collateral ligament. Posterolateral rotary instability and ligament integrity.
Apprehension or visible dislocation of the head of the radius occurs during elbow extension.
100% sensitive (rule out), 75% specific (rule in).
Tinel’s Signs at the Wrist - Structure/Pathology, Positive signs, Sensitivity/Specificity
Median nerve. Carpal tunnel syndrome.
Pins, needles, numbness, paresthesia are reproduced or increased along the median nerve (first 3,5 fingers and lateral side of palm).
Sensitive (rule out) and specific (rule in).
Phalen Test - Structure/Pathology, Positive signs, Sensitivity/Specificity
Median nerve. Carpal tunnel syndrome.
Numbness, tingling, paresthesia along the median nerve, 1st 3,5 fingers and lateral side of hand.
Sensitivity (rule out) .92, specificity (rule in) .88.
Load Test of Triangular Fibrocartilage Complex - Structure/Pathology, Positive signs.
TFCC injury.
Positive if patient has pain on ulnar side, and/or clicking during the manoeuvre.
Chair Press Test - Structure/Pathology, Positive sign.
TFCC injury.
Positive if pain is evoked and/or clicks are present.
Finkelstein Test - Structure/Pathology, Positive signs.
Tendons surrounding anatomical snuff box.
De Quervain’s tendinopathy (extensor pollicis brevis and abductor pollicis longus).
Pain over radial styloid area.
Grind Test for 1st CMC - Structure/Pathology, Positive signs, Specificity/Sensitivity.
Trapeziometacarpal joint. OA of 1st carpometacarpal joint.
Pain or crepitation during test.
Specific (rule in).
