The Elbow

4* Passive Supination

Execution

1. The examiner stands in front of the patient .
2. The elbow is bent to a right angle.
3. The examiner grasps the distal forearm just proximal to the wrist with both hands.
4. The heel of the ispi-lateral hand applies pressure at the dorsal aspect of the ulna.
5. The fingers of the other hand pull at the palmar aspect of the radius.
6. A simultaneous movement of both hands presses the wrist into full supination.

Normal range of movement: 80° to 90°.

Endfeel: elastic, capsular

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.

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