Special Test of Elbow Forearm

You might also like

Download as pdf or txt
Download as pdf or txt
You are on page 1of 3

SPECIAL TEST FOR ELBOW AND FOREARM REGION

NAME PATIENT HAND PLACEMENT PROCEDURE INDICATION

- Medial Using the hand on the


epicondyle (thumb wrist push the FA
Ligamentous sa med epi, ingers (+) Visible gap or
Sitting or standing, laterally Excessive
Valgus elbow lexed at 30° pailalim) - for
Instability Test stabilization of movement →
humerus as well damage to MCL
N: wag dapat mag ER
ang shoulder
- Above wrist

Using the hand on the


Ligamentous Sitting or standing, - Lateral wrist push the FA (+) Visible gap or
Varus Instability elbow lexed at 30° epicondyle medially Excessive
Test movement →
- Above wrist N: Yung FA lang talaga damage to LCL
mamomove dapat ha

Milking - Thumb
Maneuver (+) Pain sa medial
Sitting, shoulder Using the hand on the
- Elbow (for epi, gapping &
abducted & elbow thumb just pull the FA
support) instability →
lexed & supinated palikod
N; Best ST for damage sa MCL
throwing N: PT ay nasa likod
athletes ni patient

Using the hand on the (+) Pain 120°-70° →


Sitting or supine, - Thumb thumb just pull it Damage MCL
Moving Valgus
shoulder abducted posterior then extend
Stress Test (+) Pain < 60°
w/ external rot w/ - Elbow (for the elbow (mabilis
elbow lexed support) pag extend) → Trochlear
Chondromalacia

Ask the patient to


bend the elbow ( lex)
then you apply (+) pag walang na
Sitting or standing, - Elbow (for resistance, while hook na tendon →
Hook Test shoulder abducted stability) applying resistance rupture of the
and elbow yung kamay for Biceps brachii
supinated - Hand
stability kanina alisin tendon
then yon ipang hook
sa tendon ng biceps

Sitting, then yung (+) Pain w/ slight


chair na may - Just squeeze the extension → partial
sandalan don triceps muscle tear of triceps
ipatong yung arm tendon
Triceps Squeeze na itetest (put a - (B) sa triceps (makikita mo na mag (+) Hindi nag
Test towel) hanging eextend ng onti yung extend kahit slight
dapat yung elbow elbow pag na squeeze → complete tear of
& IR mo) triceps tendon

MALAYO PA PERO MALAYO NA ♥ (krnnlvc) 1


NAME PATIENT HAND PLACEMENT PROCEDURE INDICATION

Sitting, middle Just instruct the


phalanx nasa - wala patient to grip the (+) Decrease pain &
center dapat dynamometer nag increase ang
Kaplan’s Test (gitnang buto ng 2 times gagawin shempre then kunin grip sa 2nd test →
mga daliri ha hindi yung test 1st test result, 1st test w/o Lateral
middle inger lang) ay walang band band or brace 2nd test Epicondylitis
meron na

- Palpate lateral Ask the patient to (+) Pain over lateral


Cozen’s Test Sitting, arm at the epicondyle make a ist and ask to epicondyle →
table & FA extend the ist, then Lateral
pronated - Dorsal ng ist apply resistance Epicondylitis

- Palpate lateral
epicondyle I-extend yung elbow (+) Pain over lateral
Mill’s Test Sitting, FA then ipronate ang FA epicondyle →
pronated - naka hawak sa then i lex ang kamay Lateral
kamay Epicondylitis

(+) Pain over lateral


Ask the patient to epicondyle →
- Palpate lateral extend the 3rd digit Lateral
Sitting, hand nasa epicondyle and you apply Epicondylitis
Maudsley’s Test table resistance on DIP ha
- DIP of 3rd digit (+) Weakness sa
3rd digit but no
PIN - Posterior pain → Problem sa
Interosseous Nerve PIN

- Medial (+) Pain over


epicondyle First supinate mo medial epicondyle
Golfer’s Elbow Sitting or standing yung FA then I-extend → Medial
Test - Hand mo lang yung elbow Epicondylitis
& wrist

- Hand (palm) Ask the patient to lex (+) Pain sa medial


Tennis Elbow Sitting or standing, the wrist & pronate epicondyle →
Shear Test elbow lexed - Forearm the FA then you will Medial
resist both of them Epicondylitis

MALAYO PA PERO MALAYO NA ♥ (krnnlvc) 2


NAME PATIENT HAND PLACEMENT PROCEDURE INDICATION

Just ask the patient to


bend the elbow to the
Standing, full max and extend the (+) Tingling, tusokt
Wadsworth elbow lexed w/ wrist and hold that tusok, parethesia sa
Elbow Flexion extension of the position for 3-5 half of ring inger to
Test wrist minutes little inger → Ulnar
Pwede rin ipaabduct nerve affectation
w/ wrist extended
parin

(+) Pag nag pul to


pulp like hindi naka
tip to tip →
Pinch Grip Test Sitting or standing Ask the patient just to Affectation sa AIN
or supine since do opposition of the
(Kiloh Nevin kamay lang need - thumb and index N: AIN is a pure
Sign)
motor nerve so pt
won’t complain
loss of sensation

(+) 1,2,3 pain or


Imaginary circle sa paresthesia →
- Elbow siguro for ilalim ng crease ng Problem sa PIN or
support elbow, kuha ka piso Radial Nerve
Rule of Nine Test Sitting or standing siguro palatandaan? (+) Pag pinindot mo
- Then yung isa Para di mo na sulatan yung 5 & 6 may
pang pindot sa pt mo tusok2X na feel →
circle 3 Columns & Rows Damaged median
nerve

Sitting or standing, - Elbow (pailalim (+) Tusok tusok,


Test for Pronator forearm ha) Ask the patient na tingling sensation
Teres Syndrome midposition mag pronate lang then → pronator teres
- Volar ng forearm iresist mo lang syndrome

- Forearm
Standing or sitting, (pailalim yung Tap mo lang yung (+) Tingling
Tinel Sign (at the elbow slightly hawak) structure sa gitna ng sensation or tusok
elbow) lexed and olecranon at medial tusok → ulnar nerve
supinated - Pang tap epicondyle affectation

(+) Pag naiwan


Ipaghiwalay yung little inger →
hiwalayin mo lang Ulnar nerve
Wartenberg Sign Sitting, hand at the yung daliri ni patient affectation
table then ask thhe pt to
moves the ingers Palmar interossei
towards each other muscle yung gamit
here

MALAYO PA PERO MALAYO NA ♥ (krnnlvc) 3

You might also like