Execution
- 1Palpate the medial epicondyle.
- 2Passively supinate the patient’s forearm.
- 3Extend the elbow.
- 4Extend the wrist while maintaining forearm supination.
- 5Note whether pain is reproduced over the medial epicondyle.
Positive outcome
Pain over the medial epicondyle is positive for medial epicondylalgia or golfer’s elbow. The response should be distinguished from MCL pain or ulnar nerve symptoms.
Studies
| Study | Reliability | Sn | Sp | LR+ | LR− |
|---|---|---|---|---|---|
| Zwerus et al. (2018) — systematic review | NA | NA | NA | NA | NA |
CommentMagee’s medial epicondylalgia test is a passive stretch of the flexor-pronator origin. The evidence base is thinner than for lateral epicondylalgia, and medial elbow pain has important alternatives including MCL injury and cubital tunnel syndrome. Use symptom location and resisted flexor-pronator loading to refine interpretation.
Low Clinical Value