The Elbow

Manipulations

Definition

A passive mobilisation technique performed with high velocity and over
a small range of movement.
The goal is to reduce an intra-articular cartilaginous displacement.
In the treatment of a tennis elbow manipulations may also be used to
rupture the tenoperiosteal adhesion.

Indications

Loose bodies in adults.
- Manipulation in supination
- Manipulation in pronation.
Type II tennis elbow

Contra-indications

There are specific contra-indications.
As a rule, manipulations are not performed if the patient is anxious
or if he cannot maximally relax.