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Moving Valgus Stress Test Elbow

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Other Names

  • Moving valgus elbow stress test

Purpose

Moving Valgus Stress Test Elbow
Demonstration of moving valgus stress test[1]

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

  • O'Discoll et al[2]
    • Sensitivity: 100%
    • Specificity: 75%
    • LR-: 0.00
    • LR+: 4.00

See Also


References

  1. 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.
  2. 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
Authors:
Last edited:
19 April 2023 23:05:05
Category: