MSK Special Tests: ELBOW

Question 1

Ligament instability

Answer 1

Medial/lateral varus/valgus testing in 0 and 20 deg flexion

Question 2

Lateral Epicondylitis

Answer 2

(Tennis elbow/Cozen’s)
Elbow flexed 90deg, resist wrist extension, radial deviation, forearm pronation

Tests ECRB

Question 3

Medial Epicondylitis

Answer 3

Golfer’s

Elbow flexed 90deg, passive supination of forearm, elbow extension, wrist extension

Tests pronator teres, FCR

Question 4

Tinel’s Sign

Answer 4

ID Ulnar N dysfunction at olecranon

Question 5

Mill’s Test

Answer 5

Lateral epicondylitis

Palpate over lateral epicondyle, passive pronation, wrist flexion, elbow extension

Question 6

Lateral Epicondylitis Test

Answer 6

Stabilize elbow with 1 hand, other hand on pt’s dorsum of hand distal to PIP, pt extends middle finger against resistance

Question 7

Pronator Teres Syndrome

Answer 7

Median N entrapment within pronator teres
- sitting elbow 90deg flexion, resist forearm pronation and elbow extension
(+) tingling over median nerve distribution

Question 8

Elbow Flexion Test

Answer 8

Cubital tunnel syndrome
Pt supine, performed B/L with shoulder full ER, elbow held in max wrist flexion, wrist extension for 1 minute
(+) pain at medial elbow, numbness and tingling over ulnar distrib

Question 9

Pinch Grip Test

Answer 9

Pinch thumb and index together, (+) can’t tip-to-tip… presses pads together
(+) is pathology of anterior interosseous N (opponents pollicis from medial N)

Question 10

Elbow Extension Test

Answer 10

(+) can’t fully extend elbow = concern for fx

Question 11

Moving Valgus Stress Test

Answer 11

Partial UCL tear: 70-120deg pain felt