Upper Extremity Elbow Test Flashcards
Varus & Valgus Stress Test for
collateral ligament instability
For the Varus & Valgus Stress Test, at what position should the elbow be in?
20 -30 degree flexion
Positive Varus & Valgus Test would indicate
Pain at the collateral ligament or instability
Cozen’s Test aka
Method 1 for lateral epicondylitis
Mill’s Test aka
Method 2 for lateral epicondylitis
For Cozen’s Test have the patient
make a fist, pronate forearm, extend wrist, radially deviate wrist
After instructing the PT to move the forearm into a certain position for a COZEN’S Test, what is the next step?
1 - Stabilize the elbow @ 110 degrees
2 - Push on wrist to move it into flexion, ask pt to resist
When is the Cozen’s Test positive?
Pain @ lateral epicondyle
Method 2
Mill’s Test
Method 1
Cozen’s Test
For the Mill’s Test have the patient
make a fist, pronate the forearm, keep wrist straight
After instructing the PT to move the forearm into a certain position for a MILL’S Test, what is the next step?
Try to move wrist into Flexion, have the patient resist the motion
When is the Mill’s Test positive?
Pain at the lateral epicondyle
May also stress radial nerve and compression of it may be similar to tennis elbow.
Mill’s test
Extensor Digitorum Test
Method 3
Method 3
Extensor Digitorum Test
How do you perform Extensor Digitorum Test?
Resist Middle Finger Extension
When is the Extensor Digitorum Test positive?
Pain at Lateral Epicondyle
What test could generate Pain @ Lateral Epicondyle?
Method 1 - Cozen’s
Method 2 - Mill’s
Method 3 - Extensor Digitorum
What test is not necessary if COZEN’S Test is positive?
Extensor Digitorum
Medial Epicondylar Stretching for
Testing medial epicondylitis
Positioning arm for Medial Epicondylar Stretching is similar to ____ but here the PT needs to have the forearm in a ____ position
Mill’s test, supine
For the Medial Epicondylar Stretching Test have the patient
Extend the elbow, have forearm in supine position, extending wrist
Medial Epicondylar Stretching Test has the practitioner do what?
Push on hand to further extend the wrist
Positive Medial Epicondylar Stretching Test indicates ?
Pain at the medial epicondyle
Elbow Flexion Test (think of) have the PT
Cleopatra, flex elbows & extend the wrist
Postive Elbow Flexion Test indicates ?
Numbness & tingling following ulnar nerve up the forearm & up to small and 1/2 ring finger
Cubital Tunnel Syndrome what test is used?
Elbow Flexion Test (Cleopatra Test)
Pronator Teres Syndrome what nerve is entrapped?
Median Nerve
Pronator Teres Syndrome Test conduction
=> 90 deg. elbow flexion
Lock PT into Handshake => with other HAND hold elbow
=> move arm into straight position while pt tries
to pronate
Median Nerve entrapment of Pronator Teres Syndrome can mimic:
Carpal Tunnel
Pronator Teres primary action ?
Pronate forearm
Positive Pronator Teres Syndrome Test
Numbness, tingling travels to thumb, Index an middle & 1/2 of ring finger
Median Nerve Entrapment check this Test
Pronator Teres Syndrome Test
