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Full range of passive movements / resisted movements negative

The resisted movements from the basic functional examination are negative (painless and strong).
The passive movements are full range and the endfeel is normal.
The passive movements may be painful at the end of range.

This is a very uncommon situation at the elbow.

  • In most cases this pattern is caused by a slight periostitis: periostal contact at the end of range causes the pain.
    A local infiltration with triamcinolone, after careful delination of the lesion, is the treatment of choice.
  • Or the cause is a subtle impingement of a loose body .
    Here there is not only pain at the end of range but also a slightly changed endfeel.
    The treatmetn is manipulation.

    Copyright © 1 mei 1998 L. Ombregt [Home] [Menu de départ] [Menu principal]