Elbow - Special Tests

Question 1

Valgus Stress Test

Answer 1

elbow flexed at 10-25 degrees

UCL sprain,

Question 2

Varus Stress Test

Answer 2

elbow flexed to 25 degrees

RCL sprain
dammage to annular ligament

Question 3

Moving Valgus Stress test

Answer 3

move elbow from flexion to extension, maintaining valgus force on elbow, shoulder abducted to 90

partial tear or attenuation of UCL

Question 4

Pivot Shift test

Answer 4

shoulder and elbow flex to 90, forearm supinated
apply axial load, take into flexion and extension

subluxation and relocation - chronic instability

Question 5

Tennis Elbow test / Little leagers

Answer 5

lateral epicondylitis

Question 6

Tinel’s sign

Answer 6

tapping on ulnar nerve/radial nerve to look for reproduction signs and symptoms

Question 7

Radiohumeral joint play (glide)

Answer 7

elbow should be extended and forearm supinated

(+): hypo/hyper-mobility

Question 8

Gravity stress test

Answer 8

position pt as for apprehension of shoulder - see if gravity causes medial joint to open up compared to bilateral side

UCL tear