The Elbow

3* Passive Pronation

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 contralateral hand is placed at the palmar aspect of the ulna.
5. The fingers of the other hand at the dorsal aspect of the radius.
6. A simultaneous movement of both hands presses the wrist into full pronation .

Normal range of movement: 80° to 90°.

Endfeel: elastic, capsular

Structures that stop the movement:

• Stretch of the interosseus membrane and capsule of the upper radio-ulnar joint.
• Pinching of the biceps tendon between the radial tuberosity and the ulna.

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