Wadsworth Elbow Flexion Test

What is the "Wadsworth Elbow Flexion Test" used for?

• Ulnar nerve neuropathy
• Cubital tunnel (ulnar nerve) syndrome

How to perform the "Wadsworth Elbow Flexion Test"?

• The patient is asked to fully flex the elbow with extension of the wrist and shoulder girdle abduction (90°) and depression,and to hold this position for 3 to 5 minutes
• Ochi et al. modified the test to include medial rotation of the shoulder, calling it the shoulder internal (medial) rotation elbow flexion test state that symptoms should develop in less than 5 seconds.

What is the positive result?

• Tingling or paresthesia in the ulnar nerve distribution of the forearm and hand indicates a positive test.