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"The Elbow" Demo
4* Passive Supination
Structures that stop the normal movement:
Stretch on the interosseus membrane and the upper radio-ulnar joint.
Stretch on the pronator teres and the extensor carpi ulnaris muscles.
The examiner stands in front of the patient .
The elbow is bent to a right angle.
The examiner grasps the distal forearm just proximal to the wrist with both hands.
The heel of the ispi-lateral hand applies pressure at the dorsal aspect of the ulna.
The fingers of the other hand pull at the palmar aspect of the radius.
A simultaneous movement
of both hands presses the wrist into full supination.
Normal range of movement: 80° to 90°.
Endfeel: elastic, capsular
overview functional examination