Active Radiocapitellar Compression Test

Active Radiocapitellar Compression Test with elbow flexion

What is the “Active Radiocapitellar Compression Test” used for?

  • Osteochondritis dissecans of the capitellum

How to perform the “Active Radiocapitellar Compression Test”?

  • The examiner applies an axial (compression) load to the elbow in full extension.Ā 
  • It has been advocated by some that the compression should be applied with the elbow in 90° flexion as the radiocapitalar joint is in closed pack in 90° flexion, which causes more compression.Ā 
  • The patient is asked to actively supinate and pronate the forearm while the compression is maintained

What is the positive result?

  • Pain in the lateral compartment of the elbow is a positive test and may indicate an osteochondritis dissecans of the capitellum.
Active Radiocapitellar Compression Test with elbow extension