The most sensitive indirect maneuver for the diagnosis of medial epicondylitis is resisted forearm pronation, which is positive in 90% of patients who have this disorder29 (Fig. 3.17). A positive test elicits pain at the flexor-pronator muscle mass origin on the medial epi-condyle. The second most sensitive maneuver is resisted palmar flexion, which is positive in 70% of patients.29 Passive extension of the wrist and fingers also can elicit pain at the medial epicondyle in these patients.
The most sensitive and specific provocative test maneuver for locating the site of ulnar nerve compression is the elbow flexion test conducted with direct pressure over the cubital tunnel.20 With the patient's wrist neutral and forearm supinated, the examiner flexes the elbow to 135° and applies digital pressure over the cubital tunnel for a
period of 3 min30 (Fig. 3.18). A positive test results in paresthesias or dysesthesias in the fifth and ulnar-inner-vated half of the fourth digits. A simple nerve compression test (e.g., digital compression of the nerve at the inferior medial epicondyle) and Tinel's test also are used to aid in the diagnosis.
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Everything you wanted to know about. How To Cure Tennis Elbow. Are you an athlete who suffers from tennis elbow? Contrary to popular opinion, most people who suffer from tennis elbow do not even play tennis. They get this condition, which is a torn tendon in the elbow, from the strain of using the same motions with the arm, repeatedly. If you have tennis elbow, you understand how the pain can disrupt your day.