Athletic Training & Sports Medicine Center

 

Examination Links:

 

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
MOUSE OVER PICTURE TO VIEW MOVIE