Moving Valgus Stress Test
Other Names
- Moving valgus elbow stress test
- Moving Valgus Test
- O’Driscoll Test
- O’Driscoll Moving Valgus Test
- Elbow Moving Valgus Stress Test
- Dynamic Valgus Stress Test (Elbow)
- Valgus Extension Overload Test (Moving Variant)
- UCL Moving Valgus Test
- Medial Elbow Instability Moving Test
Purpose
- Evaluate the integrity of the Ulnar Collateral Ligament of the elbow
Description
- The patient is seated or standing
- The shoulder is abducted to 90°
- Examiner grasps the distal forearm with one hand and stabilizes the elbow with the other
- The elbow is then flexed and a valgus stress force is applied while externally rotating the shoulder
- At the end of range of motion, the examiner extends the elbow to 30°
- Positive test is:
- Pain at the medial elbow
- Pain is greatest between 120° - 70° elbow flexion
- Gapping/instability with UCL tear
Pathology
Evidence
Ulnar Collateral Ligament Injury
- O'Discoll et al[4]
- Sensitivity: 100%
- Specificity: 75%
- LR-: 0.00
- LR+: 4.00
See Also
References
- ↑ Ra’Kerry, K. Rahman, William N. Levine, and Christopher S. Ahmad. "Elbow medial collateral ligament injuries." Current reviews in musculoskeletal medicine 1.3 (2008): 197-204.
- ↑ Pearce McCarty III, L. "Approach to medial elbow pain in the throwing athlete." Current Reviews in Musculoskeletal Medicine 12.1 (2019): 30-40.
- ↑ Eygendaal, D., and M. R. Safran. "Postero-medial elbow problems in the adult athlete." British journal of sports medicine 40.5 (2006): 430-434.
- ↑ O’Driscoll SWM, Lawton RL, Smith AM. The “Moving Valgus Stress Test” for Medial Collateral Ligament Tears of the Elbow. The American Journal of Sports Medicine. 2005;33(2):231-239.
Created by:
John Kiel on 7 August 2019 12:19:48
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Last edited:
4 March 2026 01:37:33
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