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"The Elbow" Demo

Endfeel

  • This term describes the sensation that the examiner experiences at the end of the passive movement. It gives him information about the structure or condition that stops the movement and has therefore a high diagnostic value.
    In addition it has therapeutic and prognostic consequences; see capsular pattern.
  • In the elbow, three normal endfeels can be felt
  • The pathological end-feels at the elbow are:
  • - too hard a flexion in combination with a ligamentous extension: arthrosis, osteophytic outcrops or capsular contracture

    - muscle spasm: an involuntary muscular contraction protects the inflamed tissues against further overstretching. It is present in severe and acute conditions - arthritis in the acute stage - haemartrosis.

    - empty endfeel: The examiner does not feel any organic resistance but stops the movement because the perceived pain is too intense and further forcing would result in active and voluntary muscular contraction.

    - springy endfeel: The joint 'recoils' at the moment the endrange is almost reached.
    This is a typical endfeel for internal derangement and in the elbow it indicates a loose body.

    Copyright © may 15 1999 L. Ombregt [] [Home] [Main menu]