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Maudsley Test

 Maudsley Test

What is Maudsley Test?

Maudsley Test (or tennis elbow test) is used for lateral epicondylitis of the elbow joint, also known as ”Tennis Elbow”.

See Also: Cozen's Test

How do you perform Maudsley’s test?

Maudsley Test
Maudsley Test

What does a positive Maudsley Test mean?

A positive maudsley test is indicated by pain over the lateral epicondyle of the humerus.

Maudsley’s Test Accuracy

A study by Saroja 1 was done to analyze the diagnostic accuracy of the provocative tests in the diagnosis of lateral epicondylitis of the elbow (Cozen’s test, Mills test and Maudsley test), he found the maudsley’s test to have the following accuracy:

This study, concludes that Mills test has an excellent diagnostic value for ruling in tennis elbow.

See Also: Mills test

Other test for Tennis Elbow:

There is other tests that is less commonly used to diagnosis the Elbow Test, these includes:

1. Chair Test:

The patient is requested to lift a chair. The arm should be extended with the forearm pronated.

Occurrence of or increase in pain over the lateral epicondyle and in the extensor tendon origins in the forearm indicates lateral epicondylitis.

Chair Test - Tennis elbow
Chair Test

2. Bowden Test:

The patient is requested to squeeze a blood-pressure cuff that has been inflated to about 30 mm Hg (about 4.0 kPa) with his or her hand; alternatively, ask the patient to maintain a pressure specified by the examiner by squeezing the cuff.

Occurrence of or increase in pain over the lateral epicondyle and in the extensor tendon origins in the forearm indicates epicondylitis.

Bowden Test - Tennis elbow
Bowden Test

LATERAL EPICONDYLOSIS (TENNIS ELBOW)

Lateral epicondylitis (tennis elbow ) is one of the most common causes for symptoms related to the elbow.

The pain is arising from the origin of extensor carpi radialis brevis (ECRB) at the lateral epicondyle.

Tennis elbow may be caused not only by playing tennis but also by numerous other stressors that cause repeated activation of the wrist extensors.

Sudden traumatic onset is suggestive of an acute tendon rupture that often requires surgical repair.

Treatment:

NON-OPERATIVE TREATMENT:

OPERATIVE TREATMENT:

Reference

  1. Saroja, G & Leo, Antony & venkata sai, Pm. (2014). DIAGNOSTIC ACCURACY OF PROVOCATIVE TESTS IN LATERAL EPICONDYLITIS. International Journal of Physiotherapy and Research. 2. 815-823. 10.16965/ijpr.2014.699. LINK
  2. Clinical Tests for the Musculoskeletal System 3rd Edition.
  3. Dutton’s Orthopaedic Examination, Evaluation, And Intervention 3rd Edition.

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