Mill's
(Tennis Elbow) Test |
Examination type |
Tendon
pathology |
Patient & Body Segment Positioning |
The patient
is sitting and relaxed throughout the test. |
Examiner Position |
The examiner
has one hand on the lateral epicondyle to palpate and the other
on the patient’s wrist. |
Performing the Test |
The examiner
passively pronates the forearm while fully flexing the wrist and
extending the elbow of the involved arm. At the same time, the
examiner should be palpating the lateral epicondyle. |
Tissues
Being Tested |
Pronator
teres and pronator quadratus muscles, flexors of the wrist and
fingers, radial nerve, lateral epicondyle of the humerus |
Positive Test |
Increasing
pain during the movement over the lateral epicondyle of the
humerus. |
Interpretation |
A positive
test indicates the possibility of tennis elbow or lateral
epicondylitis. |
Common errors in
performing exam |
Difficulty
in pronating the arm, flexing the wrist, and extending the elbow
with only one hand. |
Factors possibly
resulting in misinterpretation |
This test
also stresses and compresses the radial nerve which can produce
symptoms similar to those of tennis elbow.
Electroradiodiagonostic studies can help differentiate between
tennis elbow and radial nerve pathology. |
Related tests |
Cozen’s
Test, Long Finger Test, and Modified Long Finger Test |
References |
Konin. Special
Test for Orthopedic Examination. 2nd Ed. 2002.
Magee, David
J. (2002). Orthopedic Physical Assessment. Philadelphia,
PA: Elsevier |
Links: |
http://www.ihcatl.com/ihc/documents/ortho.htm
http://www.newportpain.com/newportpain/shoulder.asp#10 |
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