Special Tests- Elbow & Wrist Flashcards
what special test is used for lateral elbow tendinopathy?
- Mill’s Test
what is the pt starting position of the lateral elbow tendinopathy test?
- pt standing
- elbow flexed
what do the hands do in the lateral elbow tendinopathy test?
- one hand fixates humerus
- palpate lateral epicondyle
what movement occurs in the lateral elbow tendinopathy special test?
- passively pronate forearm, flex the wrist and extend the elbow slowly
what does the test for lateral elbow tendinopathy do?
- maximally stretches and provokes extensor carpi radialis brevis & longus
when is the lateral elbow tendinopathy test positive?
- when there is pain over the lateral epicondyle
what is the special test for carpal’s tunnel syndrome?
- Phalen’s test
what is the pt starting position in the capral tunnel syndrome special test?
- pt seated
- flexed elbows on table
why is the table used for the elbows in the carpal tunnel syndrome special test?
- because it allows the wrist to fall into max flexion
what is the pt asked to do in the carpal tunnel syndrome special test? how long for?
- asked to push dorsal surface of hands together
- hold for 30-60 seconds
when is the carpal tunnel syndrome test positive?
- paraesthesia (tingling, numbness) in distribution of medial nerve
what is the special test for de quervain tenosynovitis ?
- Finkelstein test
what is the pt starting position in the de quervain tenosynovitis special test?
- pt in sitting or standing
- elbow extended (increased tension)
what should you ensure in the de quervain tenosynovitis special test?
- that the pt is comfortable and relaxed
what movement occurs in de quervain tenosynovitis special test?
- pt makes a first (thumb between fingers)
- ulnar deviate wrist passively
when is the de quervain tenosynovitis special test positive?
- pain in/ around the radial styloid area
