Elbow SpT

Question 1

Elbow SpT’s

Answer 1

Varus stress test
Valgus stress test
Cozen’s test
ECRB/Maudsley’s test

Question 2

Varus stress test: procedure

Answer 2

• Patient is supine
• Patient elbow 20deg flex
• Shotgun position
• Apply gentle and progressive varus force

Question 3

Varus stress test: purpose

Answer 3

Integrity of the lateral collateral ligament (LCL)

Question 4

Varus stress test: SPEC/SENS

Answer 4

SENS: 100%
SPEC: 75%

Question 5

Varus stress test: +ve -ve tests

Answer 5

+ laxity
+ soft end feel
+/- P
- no laxity

Question 6

Valgus stress test: procedure

Answer 6

• Patient in supine
• Patient elbow 20deg flex
• Shotgun position
• Apply gently and progressive valgus force

Question 7

Valgus stress test: purpose

Answer 7

Integrity of the medial collateral ligament (MCL)

Question 8

Valgus stress test: SPEC/SENS

Answer 8

SENS: 100%
SPEC: 75%

Question 9

Valgus stress test: +ve -ve tests

Answer 9

+ laxity
+ soft end feel
+/- P
- no laxity

Question 10

Cozen’s test: procedure

Answer 10

• Patient in seated with forearm on plinth
• Position in slight elbow flex and wrist in pronation and RD
• Apply gently and progressive inferior force to hand

Question 11

Cozen’s test: purpose

Answer 11

Lateral epicondylitis “tennis elbow”

Question 12

Cozen’s test: SPEC/SENS

Answer 12

SENS: 78 - 83%
SPEC: 80 - 90%

Question 13

Cozen’s test: +ve -ve tests

Answer 13

+ P of elbow ext
- no P

Question 14

ECRB/Maudsley’s test: procedure

Answer 14

• Patient in seated with forearm on plinth
• Position in slight elbow flex and wrist PRON finger EXT
• Apply gentle and progressive inferior force to DIP 3rd phalanx

Question 15

ECRB/Maudsley’s test: purpose

Answer 15

Lateral epicondylitis “tennis elbow”
Extensor digitorum muscle and tendon

Question 16

ECRB/Maudsley’s test: SPEC/SENS

Answer 16

SENS: 88%
SPEC: 85%

Question 17

ECRB/Maudsley’s test: +ve -ve tests

Answer 17

+ P of elbow EXT
- no P