1. The Elbow Examination

2. Capsular Pattern

3. Subjective Examination • Age • Occupation – repetitive job and sports • Site – usually localised • Spread – may spread to hand • Onset – overuse, trauma, insidious • Duration – recent, longstanding, intermittent • Behaviour – agg/ easing • Symptoms- locking, p+ns, swelling, stiffness • PMSH

4. Inspection • Deformity – carrying angle • Colour – sepsis • Swelling – bursitis, fracture, RA • Wasting – biceps, triceps, forearm muscles • State at rest • Site of pain

5. Palpation • Heat • Swelling • Synovial thickening

6. Passive Movements • Flexion • Extension • Pronation • Supination

7. Resisted tests • Flexion • Extension • Supination • Pronation • Wrist extension • Wrist flexion

8. Comparison • Bilateral flexion • Bilateral extension