In this edition we highlight the lateral elbow.

The joint we will be focusing on is the proximal radio-ulnar joint.

Assessing the lateral elbow

With the elbow at approximately 90 degrees of flexion, we want to isolate the wrist extensors (which originate at the lateral elbow) by putting the patient’s wrist into extension.

Once the patients is in position, we ask them to resist as we attempt to flex their elbow.

A positive test is an inability to resist and maintain their arm position. This would indicate the need for a corresponding adjustment.

Adjusting the lateral elbow

✅ Contact is key with this one. Its important to make sure our thumb is in contact with the radial head.

✅ Opposite hand which is holding the patient’s arm, can predispose into pronation or supination, depending on direction of restriction.

✅ Bring the patient’s arm into approx 45 degrees of shoulder ABduction. Ensure the patient’s arm is fully relaxed, then deliver a quick, crisp thrust.

✅ Click the button below to watch a quick video that guides you through the adjustment 👇

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That’s it for this edition.

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