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Ligamentous Instability Tests
- Valgus Stress for Ulner Collateral Lig
- Medial Gap @ 15 degrees Flexion
- Medial Gap @ 90 degrees Flexion
- Varus Stress for Radial Collateral Lig
- Lateral Gap @ 20-30 degrees Flexion
- + Pain and/or excessive movement
-
Tinel Sign
- Tap ulner NN in cubital tunnel
- + Tingling, parasthesia, recreation of symptoms
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Mill's Test (Tennis Elbow)
- pt makes fist, flexes wrist with Ulner Dev, Pronation, elbow Ext
- Therapist adds POP to stress CET and extensors
- + increased pain in CET
NOTE: puts stress on radial NN! May elicit S&S
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Cozen's Method
- Resisted wrist EXT and Rad Dev
- + increased pain in CET
-
Golfer's Elbow Stretch Test
- pt makes a fist, Extends wrist, Rad Dev, Supination and elbow Ext
- Therapist adds POP to stress CFT and Flexors
- + Increased pain in CFT
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Golfer's Elbow Resisted Test
- Resisted active wrist Flexion with Ulner Dev
- This stresses the CFT
- + Increased pain
-
Elbow Flexion Test
- pt seated
- pt fully flexes elbows with wrist extended
- (hand position like hang clean end position)
- Holds for 3-5 minutes
- + tingling and/or paresthesia in Ulner NN distribution
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Pronator Teres Syndrome Test
- pt seated, Flex elbow to 90 degrees
- pt performs resisted Pronation, while therapist passively extends elbow
- + Tingling in Median NN distribution (palm+fingers)
NOTE: lack of palm distribution is DDX for CTS
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