Maudsley Test

 Maudsley Test is used for lateral epicondylitis of the elbow joint, also known as ”Tennis Elbow”.
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 Maudsley Test

What is Maudsley Test?

  • Maudsley Test is used for lateral epicondylitis of the elbow joint, also known as ”Tennis Elbow”.

How it's Performed?

  • Maudsley test is done while the examiner resists extension of the 3rd digit of the hand, stressing the extensor digitorum muscle and tendon, while palpating the patient’s lateral epicondyle.

What does a positive Maudsley Test mean?

  • A positive maudsley test is indicated by pain over the lateral epicondyle of the humerus.

Sensitivity & Specificity

  • Sensitivity: 88 %
  • Specificity: 0 %

Notes

LATERAL EPICONDYLOSIS (TENNIS ELBOW)

  • This is the most common tendinopathy, with pain arising from the origin of extensor carpi radialis brevis (ECRB) at the lateral epicondyle.
  • While tennis players may be susceptible, most cases occur in those without a history of racquet use.
  • Sudden traumatic onset is suggestive of an acute tendon rupture that often requires surgical repair.

Treatment:

NON-OPERATIVE TREATMENT:
  • Activity modification and physiotherapy will speed up recovery. This means identification and avoidance of precipitating factors, and an eccentric loading regime for the common wrist extensors.
  • A static wrist splint may help with pain control.
  • Steroid injection will provide short-term pain relief but recurrence rates are high and the elbow is more likely to be painful in the long term.
  • Autologous blood product injection may have a role.
OPERATIVE TREATMENT:
  • If the pain persists despite adequate non-surgical measures, tendon debridement can provide pain relief in approximately 85% of cases.
  • Surgery can be performed as an open procedure with an average of 6 weeks recovery, or using arthroscopic technique with a faster recovery of 2 weeks but a higher risk of nerve injury.

Reference

  • Orthobullets
  • Campbel's Operative Orthopaedics 13th Book
  • NCBI

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