VALGUS STRESS TEST

TEST POSITIONING

​The client sits with the test elbow flexed to 20 to 30 degrees.

The therapist stands with the distal hand around the client's wrist (medially) and the proximal hand over the client's elbow joint (laterally).

ACTION

​With the wrist stabilized the therapist applies a valgus stress to the elbow with the proximal hand.

POSITIVE FINDING

​As compared to the uninvolved elbow, medial elbow and/or increased valgus movement with a diminished or absent endpoint is indicative of damage to primarily the ulnar (medial) collateral ligament.

CONSIDERATIONS & COMMENTS

​The therapist must avoid allowing the humerus to internally or externally rotate during this test, as this will give the illusion of increased valgus movement.