What does a positive Mills Test indicate?

The Mills Test is a specific clinical maneuver used to assess the presence of lateral epicondylitis, commonly referred to as tennis elbow. When a positive Mills Test occurs, it suggests that there is pain in the lateral aspect of the elbow, indicating potential inflammation or irritation of the common extensor tendons, particularly the extensor carpi radialis brevis muscle.

During the Mills Test, the examiner typically performs a series of movements involving elbow extension and wrist flexion, which puts stress on the lateral elbow structures. A positive response, often characterized by pain in the elbow region, confirms the diagnosis of lateral epicondylitis, differentiating it from other conditions that could cause elbow or wrist pain.

Understanding the specific indicators for other conditions such as a medial meniscus tear, patellar dislocation, or ankle sprain is crucial. Each of these conditions has its own unique clinical tests and symptoms, such as joint swelling, instability, or specific movements that exacerbate pain, which are not identified through the Mills Test. This highlights the importance of precise test selection based on the clinical scenario being evaluated.