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MSK 2.2 — Elbow & Wrist

Elbow & Wrist

Epicondylitis tests, ligament stress tests, nerve entrapment screening, and paediatric considerations.

Elbow & Wrist Tests

TestAssessesPositionPositive FindingModification
Cozen'sLateral epicondylitisSeatedLateral epicondyle painReduce resistance if acute.
Passive Tennis ElbowLateral epicondylitisSeatedPain on passive wrist flexionGentle stretch only.
Golfer's ElbowMedial epicondylitisSeatedMedial epicondyle painReduce resistance.
Varus / Valgus StressCollateral ligamentsSeated/supinePain/laxityPaeds: avoid if physeal injury suspected.
Tinel ElbowUlnar nerveSeatedTingling 4th/5th fingersGentle tapping.
FinkelsteinDe Quervain'sSeatedRadial styloid painCommon postpartum.
PhalenCarpal tunnelSeatedMedian nerve paraesthesiaCommon in pregnancy.
Tinel WristMedian nerveSeatedTingling thumb-index-middleGentle tapping.
Scaphoid CompressionScaphoid fractureSeatedSnuffbox painRefer imaging if suspected.

🧒 Paediatric Nursemaid's Elbow

Traction injury under age 5. Child holds arm in pronation and refuses use. Avoid stress testing. Refer or reduce only if trained and fracture excluded.

References: OSTEOPATHY Year 2 Orthopaedic Sports Therapy Book; OSTEOPATHY Manipulation Notes.

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