MSRA-1394

MSRA-1394

A 35-year-old woman presents to her General Practitioner complaining of pain in the outer aspect of the left elbow. This pain has been going on for a few months and she occasionally feels the pain in the outer aspect of the left forearm as well.
She is otherwise healthy and physically active. She mentions that she enjoys rock climbing and often participates in climbing competitions.
Which one of the following findings on examination would necessitate a referral to an orthopaedic surgeon for further evaluation?
Select the SINGLE best answer from the list below.