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Pressure Provocative Test

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Other Names

  • Pressure Provocative Test
  • Pressure Test
  • Ulnar Nerve Compression

Purpose

Demonstration of the pressure provacative test[1]

Description

  • The Elbow is held in 20° of flexion, forearm in supination.
  • The examiner applies external pressure just proximal to the cubital tunnel for 60 sec
  • Positive test
    • Presence/worsening of numbness/paresthesias in the ulnar nerve distribution

Pathology


Evidence

Cubital Tunnel Syndrome

  • Novak et al[3]
    • Sensitivity after 30 seconds: 55%
    • Sensitivity after 60 seconds: 89%
    • Specificity: 98%

See Also


References

  1. Goldman, Sarah B., et al. "A review of clinical tests and signs for the assessment of ulnar neuropathy." Journal of hand Therapy 22.3 (2009): 209-220.
  2. Paley, D., and R. Y. McMurtry. "Median nerve compression test in carpal tunnel syndrome diagnosis reproduces signs and symptoms in affected wrist." Orthop Rev 14.1 (1985): 41-45.
  3. Novak, Christine B., et al. "Provocative testing for cubital tunnel syndrome." The Journal of hand surgery 19.5 (1994): 817-820.
Created by:
John Kiel on 27 April 2023 10:37:27
Authors:
Last edited:
15 May 2023 09:54:34
Category: