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Pushup Apprehension Test
From WikiSM
Other Names
- Pushup Sign
- Pushup Test
- Floor push-up test
- Floor pushup test
Purpose
- Evaluate integrity of Lateral Collateral Ligament Complex (Elbow)
Description
- Patient is asked to perform a pushup from the floor
- The elbows are placed at 90° flexion, forearms supinated, arms abducted greater than shoulder width.
- Repeat with forearms in pronation
- Positive test
- Apprehension when elbow is terminally extended from a flexed position with voluntary and involuntary guarding or complete dislocation.
- Elbow pain with supination, improves with pronation
Pathology
- Lateral Collateral Ligament Injury (Elbow)
- Posterolateral Rotatory Instability
- Posteromedial Rotatory Instability
Evidence
- Posterolateral Rotatory Instability
- Sensitivity: 87%[1]
- When combined with Chair Apprehension Test, sensitivity increases to 100%
See Also
References
- ↑ Regan W, Lapner PC. Prospective evaluation of two diagnostic apprehension signs for posterolateral instability of the elbow. J Shoulder Elbow Surg. 2006;15(3):344–346.
Created by:
John Kiel on 22 December 2019 14:52:59
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Last edited:
7 April 2022 16:25:56
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