Special test for the posterior impingement of the elbow joint:
- These tests are applied into clinic for check the posterior impingement of the elbow joint.
- These clinical tests are applied by the therapist when the patient is complain about the elbow pain.
- These tests are applied into examine part of the assessment of the elbow joint.
Name of the special test of the posterior impingement of the elbow joint:
- Arm bar test
- Extension impingement test
Arm bar test :-
Purpose of the Arm bar test :
- this test is used to check the posterior impingement of the elbow joint
Technique of the Arm bar test :
- The patient rests the hand of the test arm on the examiner’s shoulder with the elbow extended & shoulder medially rotated.
- The examiner pulls down on the olecranon to stimulate forced extension.
Result of the Arm bar test :
- Reproduction of pain especially posteromedially along the olecranon is a positive test for posterior impingement .
- The patient may also lack full extension.
Extension impingement test :-
Purpose of the Extension impingement test :
- This test is used to check the pain in the medial olecranon with out instability.
Technique Purpose of the Extension impingement test :
- The examine applies a valgus stress to the elbow while quickly extending & flexion repeatedly.
- The test is then repeated without the valgus stress while the posteromedial olecranon is palpated for tenderness.
Result Purpose of the Extension impingement test :
- The palpation differentiates tender impingement due to instability from pain over the medial olecranon without instability.
