Pronator Teres Syndrome Test

Be the first to edit this page and have your name permanently included as the original editor, see the editing pages tutorial for help.

Original Editor - Your name will be added here if you created the original content for this page. Lead Editors - Your name will be added here if you are a lead editor on this page.  Read more.

Pronator Teres Syndrome (PTS) is a compression neuropathy of the median nerve at the elbow.  It is not as common as compression at the wrist which is Carpal Tunnel Syndrome (CTS).

Purpose

The purpose of this test is to help differentiate between Pronator Teres Syndrome and Carpal Tunnel Syndrome.

Technique

The patient stands with the elbow in 90 degrees of flexion. The clinician then places one hand on the client's elbow for stabilization and the other hand grasps the patient's hand in a handshake position. The client holds this position as the practitioner attempts to supinate the patient's forearm (forcing the client to contract the pronator muscles). While holding the resistance against pronation, the clinician extends the patient's elbow. If the patient's pain or discomfort is reproduced, there is a good chance of median nerve compression by the pronator teres. The patient should keep the elbow relaxed during the test, because holding the elbow firmly in flexion will not allow elbow extension.

Evidence

Provide the evidence for this technique here

Resources

add any relevant resources here