Joint Play Elbow | Basic Elbow Assessment

Go to
Joint Play Elbow | Basic Elbow Assessment | Physiotherapy Exam
The Elbow consists of three different joints: the humerulnar joint, the humeroradial joint, and the radioulnar Joint.
Let’s look at the different movements that are possible in these three joints:
- Radial and ulnar deviation of the radius and the ulnar on the humerus
- Ulnar deviation of the radius and ulna on the humerus
- Distraction of the Olecranon from the humerus
- Distraction of the radius on a humerus
- PA and AP glide of the radius and humerus
- Radial and ulnar deviation of the radius and the ulnar on the humerus:Â Have your patient in standing position with the elbow supinated and completely extended.Then fixate the humerus from the inside and grab on to the forearm proximal to the wrist and apply varus or an adduction force
- Ulnar deviation of the radius and ulna on the humerus: Have your patient standing position with the elbow supinated and completely extended. Grab onto the humerus from the outside and onto the forearm proximal to the wrist from the inside and then apply a valgus or an abduction force.
- Distraction of the Olecranon from the humerus: Have your patient in supine line position with the ulnar humeral joint in its MLPPWhich is 70° of Flexion and 10°of of supination. Then fixate the humerus with one hand while you palpate the joint line laterally with your thumb. With the other hand grab onto the ulnar and pull dorsally and distally
- Distraction of the radius on a humerus: bring your patient’s radiohumeral joint in its MLPP which is full extension and 5° of supination. Then fixate the humerus with one hand while you palpate the joint line with your index finger. Grab on to the Radius proximal to the wrist with the other hand and then perform distal traction. You should feel the joint play in the joint line
- PA and AP glide of the radius and humerus: have your patient and sitting position with the arm to be tested on the treatment table. Then bring the radio humeral Joint in its MLPP and fixate the humerus with one hand while you palpate for the joint line with your thumb. Try to find the radius with the other hand. For the PA glide give pressure into the direction of your patient’s chest. For the AP glide, you have the same fixation while you palpate the joint line. Then you have to remove all the extensors of the forearm and dig deep until you feel a dip. You have to be careful because this can be really sensitive for your patient. As soon as you find the dip There you can feel the head of the radius. Now your movement goes into a distal and a bit caudal direction
21 OF THE MOST USEFUL ORTHOPAEDIC TESTS IN CLINICAL PRACTICE
References
–
BUY THE FULL PHYSIOTUTORS ASSESSMENT BOOK
- 600+ Pages e-Book
- Interactive Content (Direct Video Demonstration, PubMed articles)
- Statistical Values for all Special Tests from the latest research
- Clinical Value Recommendation
- Detailed descriptions & searchable
- Currently on Version 5.0 – Free lifetime updates
- Available in 🇬🇧 🇩🇪 🇫🇷 🇪🇸 🇮🇹 🇵🇹 🇹🇷
- And much more!
ALL ORTHOPEDIC TESTS IN ONE PLACE
What customers have to say about the Assessment E-Book
- Vince199225/04/20The Assessment E-Book This book helped me in my studying for my exam and in assessing my first patients. Awesome! Also for beginners!Simon Pagitz06/04/20The Assessment E-Book It’s an amazing Compilation! Congrats to all the work you have put in there. You’ll propably find all the test’s you’ve been looking for with propper explaination and source to doublecheck for you self. definetly a must have for every student, but it will also help an experienced practioner. Im looking forward to the lifelong updates on the topics.
Great work, guys - Jordi Burrut27/10/19The Assessment E-Book A must-have for all physiotherapists, osteopaths and manual therapists. The authors conducted an extensive research on assessment tests in manual therapy. I find it very easy to read. The more I read the more I learn. Thank you!Josh07/07/19The Assessment E-Book This book is great! It is very structured and detailed. It works extremely well on my Macbook and iPad.
- Polo_soa15/02/19The Assessment E-Book The best way to spend 80euros. Totally worth it. The amount of work you put behind this must have been absolutely huge. Every physical or physiotherapist should own it.
Congrats guys you’ve done an incredible job.
I’ve learnd a lot of new things and my approach to therapy in general have totally changed.
In one word: amazing. Keep going guys ! Best wishes from france.