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Passive radial deviation

Procedure.

Push the subject’s wrist to the radial side until the end of range is reached .

Common mistakes. None.

Normal functional anatomy:

• Rallge: about 15° • Elld-fee/: rather hard • Limithlg structLlres: stretching of the ulnar collateral ligament and of the extensor carpi ulnaris.

Common pathological situations:

• Pain at the ulnar […]

Passive supination

Positioning.

The subject stands with the arm hanging and the elbow bent to 90°. The examiner stands in front of the subject. Both hands encircle the distal part of the forearm in such a way that the heel of the ipsilateral hand is placed on the dorsal aspect of the ulna and the fingers of […]

Palpation of soft tissue

Radius and ulna can be identified. At the distal and ulnar side of the ulna a bony prominence can be felt: the pisiform bone. Put the interphalangeal joint of the thumb onto the pisiform and direct the thumb towards the base of the index finger of the subject. Flex the thumb and feel its tip […]

Palpation of soft tissue

Place one finger just radially to the dorsal tubercle of the radius. Ask the subject to make a first and to squeeze and unsqueeze it. During this action tendinous tightening can be felt. These are the tendons of the extensor carpi radialis longus and extensor carpi radialis brevis. When the subject continues these muscular contractions […]

Resisted extension of the wrist

Positioning.

The subject stands with the arm hanging, the elbow extended and the wrist in neutral position (between pronation and supination,and between flexion and extension). The examiner stands level with the subject’s elbow. The contralateral arm lifts and carries the elbow and keeps it extended. The hand stabilizes the forearm. The other hand is placed […]

Passive supination

Positioning.

The subject stands with the arm hanging and the elbow bent to a right angle. The examiner stands in front of the subject. Both hands encircle the distal forearm in such a way that the heel of the ipsilateral hand is placed against the dorsal part of the ulna and the fingers of the […]

Palpation of the extensor carpi ulnaris muscle

The elbow and forearm are still held in the same starting position (900 flexion, supination). Place the palpating finger below the lateral epicondyle. Ask the subject to perform ulnar deviation of the wrist. Tension can be felt in the tendon of the extensor carpi ulnaris, which runs towards the olecranon.

Prescription Sports

RUNNING ON A HARD SURFACE

Running is one of the most popular sports in the world. This not only covers marathons and track and field running – running is also part of the training in virtually all other sports, including soccer, rugby, handball and triathlon. Running is a very efficient method for maintaining or improving […]

Tennis Elbow

Basics Description Lateral epicondylitis (tennis elbow) is a tendinopathy of the origin of the ECRB tendon. The lateral epicondyle is the origin of the common wrist extensor tendon, including: ECRL ECRB Extensor digitorum communis Extensor carpi ulnaris The ECRB lies beneath the ECRL. These extensors stabilize the wrist and are used in sports (such […]