MOVING VALGUS STRESS TEST FOR MEDIAL COLLATERAL LIGAMENT INSUFFICIENCY OF THE ELBOW If your patient is presenting after a trauma of the elbow and with medial elbow pain, one of the first things you want to test (after excluding a fracture) is the integrity of the ligaments. The moving valgus stress test is used to assess the medial collateral ligament at the elbow. According to a small study of O'Driscoll et al. (2017) the Moving Valgus Stress test has a sensitivity of 100% and a specificity of

This one trips up a lot of clinicians, even those who feel solid with their knee testing. If you’re not controlling rotation during your valgus stress test (especially in flexion), your “valgus” test isn’t really valgus anymore. You’re now adding a mix of rotation that changes how the joint opens, and what you feel at the endpoint. That’s why keeping the heel close to the table matters. It anchors the leg, limits rotation (keeping the test unidirectional/uniplanar), and helps you feel the true m

VALGUS STRESS TEST FOR MEDIAL COLLATERAL LIGAMENT (MCL) INJURIES Medial collateral ligament injuries are among the most prevalent knee injuries seen in primary care. It’s therefore of particular interest for our healthcare systems that physicians and physiotherapists are able to filter patients with suspected MCL injury prior to referring them to secondary care. The Valgus or Abduction Stress Test is designed to stress the medial collateral ligament. In the 0° position, the test stresses the Pos