Elbow Ortho Exams

Question 1

Pain with extension of wrist & pronation of the elbow.

- Affects the Extensor Carpi Radialis Brevis

Answer 1

Lateral Epicondylitis

aka Radiohumberal Bursitis, Tennis Elbow

Question 2

Pain with flexion of wrist at medial portion of elbow.

- Affects Flexor Carpi Ulnaris

Answer 2

Medial Epicondylitis

aka Little Leaguer’s Elbow, Golfer’s Elbow

Question 3

What is the treatment for Lateral & Medial Epicondylitis?

Answer 3

Transverse massage, ultrasound under water and counterforce brace.

Question 4

Patient’s elbow is flexed to 90 degrees with the forearm pronated and fist dorsiflexed. Doctor stabilizes the elbow and resists the patient’s dorsiflexion.
(+) = pain in the lateral elbow

Answer 4

Cozen’s Test

Lateral Epicondylitis

Question 5

The patient is instructed to extend the forearm, make a fist, flex the wrist and then maximally pronate the forearm. This test can be performed passively by the doctor. (+) = pain in lateral elbow

Answer 5

Mill’s Test

Lateral Epicondylitis

Question 6

Patient seated with arm close to body. Patient makes a fist and flexes wrist with supination. Doctor resists flexion of wrist while supporting at elbow. (+) = pain in medial elbow

Answer 6

Reverse Cozen’s Test

Medial Epicondylitis