Practical 1_Joint Play

Question 1

1. Patient in standing position with elbow supinated and completely extended.
2. Fixate the humerus from the inside and grab onto the forearm from the outside (proximal to the wrist).
3. Apply an adduction/varus force via the forearm.

Answer 1

Radial Deviation (Elbow Joint Play)

Question 2

1. Patient in standing position with elbow supinated and completely extended.
2. Fixate the humerus from the outside and grab onto the forearm on the inside (proximal to the wrist).
3. Apply an abduction/valgus force via the forearm.

Answer 2

Ulnar Deviation (Elbow Joint Play)

Question 3

1. Patient in supine with ulnar humeral joint in 70 degrees flexion and 10% of supination with elbow hanging off table.
2. Support arm against shoulder while sitting.
3. Fixate the humerus with one hand while palpating joint line laterally with thumb.
4. Use the other hand to grab onto the ulna and pull dorsally and distally.

Answer 3

Distraction of the Olecranon (Elbow Joint Play)

Question 4

1. Patient sitting with arm extended on table, slightly supinated (5 degrees).
2. Fixate the humerus with one hand while palpating joint line with index finger.
3. Grab onto the radius with the other hand proximal to the wrist and pull distally.

Answer 4

Distraction of Radius on Humerus (Elbow Joint Play)

Question 5

1. Patient sitting facing treatment table with arm slightly bent on table.
2. slightly supinated (5 degrees).
3. Fixate the humerus with one hand while palpating joint line with thumb.
4. Find radius with other hand and give pressure into patient’s chest.

Answer 5

Posterior to Anterior Joint Glide (Elbow Joint Play)

Question 6

1. Patient sitting facing treatment table with arm slightly bent on table.
2. slightly supinated (5 degrees).
3. Fixate the humerus with one hand while palpating joint line with thumb.
4. With the other hand internally, move extensors of forearm and find dip and feel head of radius.
5. Push on both hands and movement should be a bit distal/caudal.

Answer 6

Anterior to Posterior Joint Glide (Elbow Joint Play)