Arthroscopic Diagnosis of Posterolateral Rotatory Instability of the Elbow
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Posterolateral Rotatory Instability of the Elbow
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STAND-UP/CHAIR PUSH-UP TEST FOR POSTEROLATERAL ROTATORY INSTABILITY (PLRI) OF THE ELBOW Regan et al. in the year 2006 did a diagnostic study on the Stand-up test, which is also called chair push-up test and found a sensitivity of 88% with an unknown specificity. For this reason we give this test a questionable clinical value in practice. The Stand-up test makes use of the patient’s body weight to create an axial load, valgus torque at the elbow resulting in posterolateral subluxation of the elbo
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LATERAL PIVOT-SHIFT / APPREHENSION TEST FOR POSTEROLATERAL ROTATORY INSTABILITY (PLRI) Symptoms of PLRI are often painful clicking, cracking and locking of the elbow with light decrease of extension in more than 50% of subjects and pain with lifting in the supinated position. The Pivot-Shift Test has been validated by O'Driscoll et al. (2000) who found a sensitivity of 100% in anesthesized subjects and 37,5% in awake patients with unkown specificity values. (Regan et al. 2006) Apprehension by th
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