Showing posts with label elbow test. Show all posts
Showing posts with label elbow test. Show all posts

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.