The golfer's elbow test, also known as the medial epicondylitis test, is a physical examination used to help diagnose golfer's elbow, or medial epicondylitis. It involves both active and passive movements of the wrist and elbow.
Components of the Golfer's Elbow Test
The test is performed in two main parts, assessing the patient's pain response:
Active Component
- Positioning: The patient's arm is extended and the palm is facing up (supinated).
- Action: The patient is asked to flex their wrist while the examiner provides resistance against this movement.
- Positive Result: Pain elicited on the inside of the elbow (medial epicondyle) suggests a positive test for golfer’s elbow.
Passive Component
- Positioning: The patient's arm is extended, and the examiner will passively move the wrist into extension.
- Action: The examiner extends the patient's wrist while the elbow is extended.
- Positive Result: Pain elicited on the inside of the elbow (medial epicondyle) suggests a positive test for golfer’s elbow.
Summary Table
| Test Component | Patient Action | Examiner Action | Positive Result |
|---|---|---|---|
| Active | Resists wrist flexion (palm down, arm extended) | Provides resistance | Pain on the inside of the elbow |
| Passive | No active movement. | Extends the wrist (arm extended) | Pain on the inside of the elbow |
Understanding the Test
The active component of the test evaluates the muscle groups that cause wrist flexion, while the passive component aims to stretch these structures, both of which can cause pain at the medial epicondyle if inflammation or injury is present.
Important Note:
- A positive test suggests the possibility of golfer's elbow. A comprehensive diagnosis usually involves a medical history, a physical examination and may involve other imaging, such as an MRI to confirm and rule out other conditions.
- This test is performed by a qualified healthcare professional.
