Moving Valgus Stress Test Special Test

What is it used for?

• Diagnosing chronic UCL tears, specifically in overhead athletes (baseball pitchers).

How to Perform

• Position: Patient stands or sits with the arm abducted to 90°.
• Action: Apply a constant valgus torque to the elbow.
• Movement: Quickly flex and extend the elbow while maintaining the stress.

Interpretation of Results

• Positive Test: Pain is reproduced specifically within the 'Shear Angle' (between 120° and 70° of flexion).

Diagnostic Accuracy

• Sensitivity: 100%
• Specificity: 75%

References

• Magee, D. J. (2021). Orthopedic Physical Assessment.
• Orthofixar | Moving Valgus Stress Test