Elbow Plica Impingement Test
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.
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.
References[edit | edit source]
- David J. Magee. Orthopedic Physical Assessment. 6th edition. Elsevier. 2014.
