Wednesday, January 30, 2008

ORTHO ELBOW TEST

LATERAL EPICONDYLITIS TESTS
A. COZEN'S TEST
-PT SEATED
-INSTRUCT PT. TO PLACE THEIR ELBOW IN FLEXION & WRIST IN EXTENSION.
-PLACE ONE HAND ON PT'S SHOULDER (STABILIZE) & GRAB PT;S FIST WITH OTHER HAND.
-INSRUCT PT TO RESIST AS YOU PULL ON FIST.
-(+) PAIN IN LATERAL EPICONDYLE
-Dx: LATERAL EPICONDYLITIS aka TENNIS ELBOW
-MNEMONIC: PULL UP COVERS AND GET COZY

B. MILLS TEST
-PT SEATED
-INSTRUT PT. TO PLACE ELVOW IN EXTNESION & WRIST IN EXTENSION.
-PLACE ONE HAND ON PT'S HOULDERS & OTHER HAND GRABS PT'S FIST.
-HAVE PT RESIST AS YOU PULL ON FIST.
-(+) PAIN IN LATERAL EPICONDYLE
-Dx: LATERAL EPICONDYLITIS aka TENNIS ELBOW.
-MNEMONIC: TAKE COVERS OFF TO GOT WORK AT THE MILLS
C.MEDIAL EPICONDYLITIS TEST
-PT SEATED
-INSTRUCT PT TO EXTEND ELBOW & FLEX WRIST.
-PLACE 1 HAND ON PT'S SHOULDER & GRAB PT'S FIST WITH OTHER HAND.
-HAVE PT RESIST AS YOU PULL ON FIST.
-(+) PAIN IN MEDIAL EPICONDYLITIS.
-Dx: MEDIAL EPICONDYLITIS aka GOLFER'S ELBOW.

D.LIGAMENT STABILITY TEST (aka LIGAMENT INSTABILITY,AB/ABDUCTIN STRESS, OF VALGUS/VARUS STRESS TEST)
-PT SEATED
-PLACE PT'S ELBOW IN EXTENSION
-GRAB PT'S WRIST WITH 1 HAND
-THEN CONTACT PT'S LATERAL ELBOW WITH OTHER HAND.
-PUSH MEDIALLY ON THE ELBOW.
-THEN SWITCH HANDS & REPEAT, THEN PUSH LATERALLY.
-(+) MEDIAL OR LATERAL DEVIATION OF THE ELBOW.
-Dx: TORN/WEAK LATERAL COLLATERAL LIGAMENT





E. WARTENBURG SIGN
-PT SEATED
-INSTRUCT PT TO PLACE PALM FLAT ON TABLE.
-YOU PASSIVELY SPREAD THEIR FINGERS.
-(+) INABILITY TO ADDUCT PINKY.
-Dx: ULNAR NERVE NEURITIS.


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