TestHow performedPositive findingsSuggested diagnosis
Elbow abduction stress testValgus stress applied against an elbow held in 20 to 30 degrees of flexionAbsence of a firm end point and movement of the articular surfaces of the medial epicondyle and ulnaUlnar collateral ligament injury
Hook testShoulder abducted to 90 degrees with the elbow in 90 degrees of flexionFinger does not hook onto the biceps tendonDistal biceps tendon rupture
Examiner's finger attempts to hook behind the distal biceps tendon
Middle finger testWith an outstretched arm, the patient attempts to extend the middle finger against resistanceWeakness or inability to resist forcePosterior interosseous nerve compression syndrome
Pain isolated at the lateral epicondyleLateral epicondylitis
Milking maneuverForearm supinated, shoulder abducted, and elbow flexed beyond 90 degreesApprehension, instability, and medial joint painUlnar collateral ligament injury
Valgus stress is placed on the elbow by pulling on the thumb
Modified milking maneuverShoulder adducted and externally rotatedApprehension, instability, and medial joint painUlnar collateral ligament injury
Moving valgus stress testShoulder abducted and externally rotatedPain between 70 and 120 degreesUlnar collateral ligament injury
While maintaining a constant valgus force, the elbow is quickly flexed and extended through a complete range of motion
Tinel testGentle tapping over the course of a superficial nerveTingling, paresthesias over the distal course of the nerveCubital tunnel syndrome, radial tunnel syndrome