Physical examination maneuver

Physical Exam

Lateral Epicondylitis Test

also known as Cozen test
🎬
Video coming September 2026

How to Perform

Stabilize the patient's elbow with one hand, thumb over the lateral epicondyle. Ask the patient to make a fist, pronate the forearm, and extend the wrist against your resistance. A positive test is reproduction of pain at the lateral epicondyle.

How to Interpret

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References

  • Karanasios S, Korakakis V, Moutzouri M, Drakonaki E, Koci K, Pantazopoulou V, Tsepis E, Gioftsos G. Diagnostic accuracy of examination tests for lateral elbow tendinopathy (LET) - A systematic review. J Hand Ther. 2022;35(4):541-551. doi:10.1016/j.jht.2021.02.002. PMID: 33814224.
  • Cozen L. The painful elbow. Ind Med Surg. 1962;31:369-371.

Research last updated September 10, 2026.

Related Diagnoses

Lateral Epicondylitis

Related Systems / Regions

MusculoskeletalUpper Extremities

Related Bedside Tests

🎬Video coming Sept 2026
Medial Epicondylitis Test
aka Golfer's elbow test
Rule in:IEMedial Epicondylitis
Rule out:IEMedial Epicondylitis
🎬Video coming Sept 2026
Eichhoff Test
Commonly, but erroneously, called the Finkelstein test.
Rule in:SHDe Quervain Tenosynovitis
Rule out:VHDe Quervain Tenosynovitis
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Elbow Strength
Rule in:ICCervical Radiculopathy, NHDistal Biceps Tendon Rupture, IEDistal Triceps Tendon Rupture +1 more
Rule out:NHCervical Radiculopathy, ICDistal Biceps Tendon Rupture, IEDistal Triceps Tendon Rupture +1 more
🎬Video coming Sept 2026
Hand Strength
Rule in:MHCarpal Tunnel Syndrome, NHMalnutrition, IEBrachial Plexopathy +3 more
Rule out:SHCarpal Tunnel Syndrome, ICMalnutrition, IEBrachial Plexopathy +3 more
🎬Video coming Sept 2026
Finkelstein Test
What most clinicians call the Finkelstein test is actually the Eichhoff test.
Rule in:IEDe Quervain Tenosynovitis
Rule out:IEDe Quervain Tenosynovitis
🎬Video coming Sept 2026
Tinel Test of the Elbow
aka Hoffmann-Tinel sign
Rule in:NHCubital Tunnel Syndrome
Rule out:NHCubital Tunnel Syndrome