cozens, cozens test, lateral epicondylalgia, lateral epicondyle, lateral epicondylitis, ortho, pain, physical therapy, special test, tennis elbow

Purpose

This test is used to determine if a patient has lateral epicondylitis, lateral epicondylalgia, or tennis elbow.

Technique

Patient is positioned sitting.

Clinician asks the patient to fully extend the elbow, pronate the forearm, fully flex, and radially deviate the wrist.

Clinician uses one hand to palpate the lateral epicondyle.

Clinician uses his other hand to apply manual resistance to the hand as the patient attempts to extend her wrist.

Positive

The test is considered positive if it produces pain or reproduction of other symptoms in the area of the lateral epicondyle.

Interpretation

A positive indicates lateral epicondylitis or lateral epicondylalgia.

References

1. Dutton, M. (2008). Orthopaedic: Examination, evaluation, and intervention (2nd ed.). New York, NY: The McGraw-Hill Companies, Inc.

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