Elbow Plica Impingement Test: Difference between revisions
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<div class="editorbox"> '''Original Editor '''- [[User:Anas Mohamed|Anas Mohamed]] '''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}}</div> | |||
=== Purpose === | === Purpose === | ||
'''Elbow Plica Impingement Test''' is used to determine the plica syndrome or synovial fold syndrome in the elbow. | '''Elbow Plica Impingement Test''' is used to determine the [[Plica Syndrome|plica syndrome]] or synovial fold syndrome in the elbow. | ||
=== Technique === | === Technique === | ||
==== Posterolateral radiocapitellar plica test ==== | |||
'''Step 1.''' Patient position in standing or sitting. | |||
'''Step 2.''' Patient elbow in extended and forearm pronated position. | |||
'''Step 3.''' Examiner places his thump and applies manual force to the posterolateral aspect of the radiocapitellar joint while passively flexing elbow. | |||
'''Step 4.''' Tenderness at the radiocapitellar joint at low flexion angle is markedly diminished at more than 90 degree of flexion with maintaining manual compression force is marked as positive test.<ref name=":0">Park KB, Kim SJ, Chun YM, Yoon TH, Choi YS, Jung M. Clinical and diagnostic outcomes in arthroscopic treatment for posterolateral plicae impingement within the radiocapitellar joint. Medicine (Baltimore). 2019 May;98(18):e15497. doi: 10.1097/MD.0000000000015497. PMID: 31045835; PMCID: PMC6504535.</ref> | |||
==== Flexion-Pronation plica test ==== | |||
'''Step 1.''' Patient position in standing or sitting. | '''Step 1.''' Patient position in standing or sitting. | ||
'''Step 2.''' | '''Step 2.''' Patient elbow in extended and forearm pronated position. | ||
'''Step 3.''' Examiner applies lateral load to the elbow while passively flexing elbow. | |||
'''Step 4.''' Snapping above between 90 and 110 degree of flexion indicates positive test.<ref name=":1">Antuna SA, O'Driscoll SW. Snapping plicae associated with radiocapitellar chondromalacia. Arthroscopy. 2001 May;17(5):491-5. doi: 10.1053/jars.2001.20096. PMID: 11337715.</ref> | |||
=== Evidence === | |||
For '''Posterolateral radiocapitellar plica test''' the research was done on 24 patients, out of 24 patients 20 of them tested positive.<ref name=":0" /><ref name=":2">Lubiatowski P, Wałecka J, Dzianach M, Stefaniak J, Romanowski L. Synovial plica of the elbow and its clinical relevance. EFORT Open Rev. 2020 Sep 30;5(9):549-557. doi: 10.1302/2058-5241.5.200027. PMID: 33072407; PMCID: PMC7528666.</ref> | |||
{| class="wikitable" | |||
|+ | |||
<small>''See the [[Test Diagnostics|test diagnostics]] page for an explanation of statistics.''</small> | |||
|Sensitivity - 83.3%<ref name=":0" /> | |||
|- | |||
|Specificity - 87.5%<ref name=":0" /> | |||
|- | |||
|Positive predictive value -74.1%<ref name=":0" /> | |||
|- | |||
|Negative predictive value - 92.5%<ref name=":0" /> | |||
|- | |||
|Accuracy value - 86.3%<ref name=":0" /> | |||
|} | |||
For the '''Flexion-Pronation plica test''' research was done on 14 patients only 7 (50%) of them tested positive.<ref name=":1" /><ref name=":2" /> | |||
== References == | |||
<references /> | |||
[[Category:Elbow]] | |||
[[Category:Elbow - Interventions]] | |||
[[Category:Special Tests]] | |||
[[Category:Elbow - Assessment and Examination]] | |||
[[Category:Elbow - Conditions]] | |||
Latest revision as of 18:56, 4 August 2021
Purpose[edit | edit source]
Elbow Plica Impingement Test is used to determine the plica syndrome or synovial fold syndrome in the elbow.
Technique[edit | edit source]
Posterolateral radiocapitellar plica test[edit | edit source]
Step 1. Patient position in standing or sitting.
Step 2. Patient elbow in extended and forearm pronated position.
Step 3. Examiner places his thump and applies manual force to the posterolateral aspect of the radiocapitellar joint while passively flexing elbow.
Step 4. Tenderness at the radiocapitellar joint at low flexion angle is markedly diminished at more than 90 degree of flexion with maintaining manual compression force is marked as positive test.[1]
Flexion-Pronation plica test[edit | edit source]
Step 1. Patient position in standing or sitting.
Step 2. Patient elbow in extended and forearm pronated position.
Step 3. Examiner applies lateral load to the elbow while passively flexing elbow.
Step 4. Snapping above between 90 and 110 degree of flexion indicates positive test.[2]
Evidence[edit | edit source]
For Posterolateral radiocapitellar plica test the research was done on 24 patients, out of 24 patients 20 of them tested positive.[1][3]
| Sensitivity - 83.3%[1] |
| Specificity - 87.5%[1] |
| Positive predictive value -74.1%[1] |
| Negative predictive value - 92.5%[1] |
| Accuracy value - 86.3%[1] |
For the Flexion-Pronation plica test research was done on 14 patients only 7 (50%) of them tested positive.[2][3]
References[edit | edit source]
- ↑ 1.0 1.1 1.2 1.3 1.4 1.5 1.6 Park KB, Kim SJ, Chun YM, Yoon TH, Choi YS, Jung M. Clinical and diagnostic outcomes in arthroscopic treatment for posterolateral plicae impingement within the radiocapitellar joint. Medicine (Baltimore). 2019 May;98(18):e15497. doi: 10.1097/MD.0000000000015497. PMID: 31045835; PMCID: PMC6504535.
- ↑ 2.0 2.1 Antuna SA, O'Driscoll SW. Snapping plicae associated with radiocapitellar chondromalacia. Arthroscopy. 2001 May;17(5):491-5. doi: 10.1053/jars.2001.20096. PMID: 11337715.
- ↑ 3.0 3.1 Lubiatowski P, Wałecka J, Dzianach M, Stefaniak J, Romanowski L. Synovial plica of the elbow and its clinical relevance. EFORT Open Rev. 2020 Sep 30;5(9):549-557. doi: 10.1302/2058-5241.5.200027. PMID: 33072407; PMCID: PMC7528666.
