{"id":13327,"date":"2022-12-08T11:30:31","date_gmt":"2022-12-08T10:30:31","guid":{"rendered":"https:\/\/www.physiotutors.com\/?post_type=wiki&p=13327"},"modified":"2022-12-08T11:30:31","modified_gmt":"2022-12-08T10:30:31","slug":"pepper-test","status":"publish","type":"wiki","link":"https:\/\/www.physiotutors.com\/wiki\/pepper-test\/","title":{"rendered":"PEPPER Test"},"featured_media":13328,"template":"","class_list":["post-13327","wiki","type-wiki","status-publish","has-post-thumbnail","hentry"],"acf":{"sections":[{"acf_fc_layout":"page-header-detail-page","background":{"background_image":13328,"background_image_alt_text":"PEPPER Test"},"heading":"PEPPER Test | Elbow Laxity Assessment | Intra-articlar Findings","subheading":"Elbow Assessment","content_editor":"","button_type":"internal_link","button_label":"Check our shop","button_style":"button-five","button_internal_link":4646,"button_anchor":"","button_url":"","button_file":"","label":""},{"acf_fc_layout":"submenu","links":[{"button_type":"anchor","button_label":"Learn","button_internal_link":null,"button_anchor":"section-number-3","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Assessment E-Book","button_internal_link":null,"button_anchor":"section-number-4","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Reviews","button_internal_link":null,"button_anchor":"section-number-5","button_url":"","button_file":null}],"dropdown_label":"Go to","button_right":{"button_type":"internal_link","button_label":"Become a member","button_style":"button-three","button_internal_link":16662,"button_anchor":"","button_url":"","button_file":""},"button_description":"Find this wiki on the Physiotutors platform"},{"acf_fc_layout":"content-content","section_options":{"vertical_alignment":"top","column_right_box":false,"column_left_width":"col-12 col-lg-4 offset"},"column_left":{"content_editor":"

Learn<\/h4>"},"column_right":{"content_editor":"

PEPPER Test | Elbow Laxity Assessment | Intra-articular Findings<\/h2>\nThe PEPPER Test is an orthopedic test for elbow laxity & intra-articular findings in patients with recalcitrant lateral epicondylalgia.\n\nIntra-articular findings and minor elbow instability due to patholaxity are possibly contributing factors to lateral epicondylalgia. The gold standard here is elbow arthroscopy.\nThe authors of this test aimed to find a non-invasive way to assess whether intra-articular pathology or ligamentous laxity is present.\n\nAccording to Arrigoni et al. (2017)<\/a>, the preliminary metrics of this test are a positive predictive value of 66.67 for laxity and 100 for intra-articular findings. The negative predictive value is 57.14 for laxity and 28.57 for intra-articular findings. Note that these numbers come from an orthopedic setting with a high prevalence of such findings. This means the numbers appear more promising compared to a first-line clinical setting.\n\nThe authors performed the only study looking at the clinical metrics for this test to this day. Therefore, the test is considered of unknown clinical utility.\n
\n\n[embed]https:\/\/www.youtube.com\/watch?v=mRFMd7_ZrdY[\/embed]\n\n<\/div>\n \n\nTo perform this test, the therapist supports the arm of the patient with the elbow in a flexed position. The examiner palpates the posterior aspect of the radiocapitellar joint. The elbow will be passively extended by the examiner while maintaining pressure on the joint line.\n\nThe test is considered positive if the patient experiences pain while extending the elbow.\n\n[cta]\n\nAnother orthopedic test to assess for elbow laxity and intra-articular findings is the SALT Test<\/a>.\n\nOther common tests to assess for Tennis Elbow \/ Lateral Epicondylalgia are:\n