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:

1. Arm bar test
2. 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.