elbow_evaluation.pptVIP

Special Tests Lateral Epicondylitis Test/Passive Tennis Elbow Test (Cozens Test) Steps Athlete is sitting with elbow fully extended Examiner passively pronates the forearm and flexes the athletes wrist Positive Test Pain along the lateral epicondyle region of the humerus Positive Test Implications Lateral epicondylitis Special Tests Medial Epicondylitis Test/Golfers Elbow Test Steps Athlete is sitting or standing and makes a fist with the involved side Examiner faces the athlete and palpates along the medial epicondyle with one hand and grasps the athletes wrist with the other hand Examiner passively supinates the forearm and extends the elbow, wrist and fingers Positive Test Complaints of discomfort along the medial aspect of the elbow Positive Test Implications Medial epicondylitis Special Tests Elbow Flexion Test Steps Athlete is sitting or standing Athlete maximally flexes the elbow and holds the position for 3 to 5 minutes Positive Test Radiating pain into the median nerve distribution in the athletes arm and/or hand Positive Test Implications Cubital fossa syndrome Special Tests Varus Stress Test Steps Athlete is sitting with elbow flexed to 20 to 30 degrees Examiner stands with the distal hand around the athletes wrist (laterally) and the proximal hand over the athletes elbow joint (medially) Examiner stabilizes the wrist and applies a varus stress to the elbow with the proximal hand Positive Test Lateral elbow pain and/or increased varus movement with diminished or absent endpoint Positive Test Implications Radial (lateral) collateral ligament sprain Special Tests Valgus Stress Test Steps Athlete is sitting with the elbow flexed to 20 to 30 degrees Examiner stands with distal hand around the athletes wrist (medially) and the proximal hand over the athletes elbow joint (laterally) Examiner stabilizes the wrist and applies a valgus stress to the elbow with the proximal hand Positive Test Medial elbow pain and/or increased