Execution:
- Have the patient seated with exposed and supinated arms
- The patient flexes his shoulders to 90° and fully extends and locks his elbows
- The examiner compares the injured and uninjured side visually and records if full extension is present
Positive Outcome: Patients who cannot fully extend their elbow after injury should be referred for radiography
|
Study |
Reliability | Sn | Sp | LR+ | LR- |
| Appelboam et al. (2008) | NA | 96.8 | 48.5 | 1.88 |
0.06 |
| Lamprakis et al. (2007) | NA | 92 | 61 | 2.36 |
0.13 |
| Jie et al. (2014) | NA | 88 | 55 | 1.96 |
0.22 |
| Comment: Patients who do not undergo radiography should return to the GP or specialist if symptoms have not resolved after 7-10 days. The test is suitable and equally accurate for children from age 3 on as well as adults. | |||||
