Several resisted movements are painful
The pain is due to a lesion of the biceps brachii, which has a double function.
In case of doubt, resisted supination should be performed with the elbow in extension.
This starting position excludes activity of the biceps.
This is a typicalpattern for a lesion at the common tendon of the flexors of the wrist and the pronator teres at the medial epicondyle (golferselbow)
This is a phenomenon that sometimes is encountered in tennisellbow type IV.
For an unknown reason, also the supinator (localised just under the bellies of extensores carpi radiales ) is involved in the process. Treatment of the tenniselbow also makes disappear the painful resisted supination.
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