Elbow, Wrist and Hand Flashcards
Varus / Valgus Stress Test
Varus - stabilises Pts
arm at the elbow, and the other hand
is placed at the wrist, Pts
arm is slightly flexed, and an
adduction/medial force (varus) is applied.
Valgus - Abduction movement applied
Repeated at 0 and 30deg of flexion
What does Varus / Valgus Stress test
Valgus/abduction - Medial Ligament Sprain
Varus/adduction - Lateral
+Ve for Varus/valgus stress
Pain
Cozen’s
Stabilise Pts forearm - palpating lateral epicondyle, pronate arm, Radially deviate and extend the wrist
Resist Pts extension movement
What does Cozens test for
Lateral Epicondylitis
+Ve for Cozen’s
Weakness and lateral elbow pain
Reverse Cozen’s
Stabilise Pts forearm - palpating medial epicondyle, supinate arm, Ulnar deviate and flex the wrist
Resist Pts flexion movement
What does reverse Cozens test
Medial Epicondylitis
+Ve for reverse Cozen’s
Weakness and medial elbow pain
Mills
Palpate the lateral epicondyle while
* passively pronating the forearm,
* flexing the wrist and
* extending the elbow.
No resistance - stretch test
What does Mills test
Lateral Epicondylitis
+Ve for Mills
Lateral elbow Pain
Reverse Mill’s
Palpate the medial epicondyle while
* passively supinating the forearm,
* extending the wrist
* extending the elbow.
What does revere mills test
Medial Epicondylitis
+Ve for reverse Mills
Medial elbow pain
Tinel’s sign - elbow
Gently tap over cubital fossa
What does tinels sign (elbow) test
Neuropathy
+Ve for Tinel’s (elbow)
Parasthesia from Ulnar nerve so in 4th and 5th digits
Tinel’s sign - wrist
Gently tap over carpal tunnel
What does Tinels sign test (wrist)
Neuropathy
+Ve Tinel’s wrist
Parasthesia from median nerve - 1st-4th digits
Pronator stretch test
Pt elbow flexed 90 deg
Supinated forearm
Pt Pronate with Elbow Ext
Examiner Resisting Pronation during the extension
What does Pronator stretch test test for
Neuropathy
+Ve of Pronator stretch test
Parasthesia
Medial N compress Pronator Teres - 1st to 4th digits
