![]() ![]() If the humeral finger moves before 70deg then there is displacing axis of rotation of the humeral head and an instability risk. If the coracoid finger moves before 70deg then there is an increase in scapula relative flexibility and impingement risk. The ideal is 70deg rotation without any finger movement. The subject is asked to actively medially rotate the humerus. The assessor places one finger on the coracoid process and one on the humeral head. The subject lies supine with 90deg humeral abduction (hand to the ceiling with the humerus in the plane of the scapula). Kinetic Medial Rotation Test - used to differentiate to help determine whether symptoms are primarily impingement or instability. A positive result should alert the examiner to the possibility of a bony lesion as the cause of symptomatic shoulder instability. Bony Apprehension Test - identical to the standard apprehension test except that the arm is brought to only 45 of abduction and 45 of external rotation. In so doing, a subluxation of the humeral head is provoked and it is accompanied with a jerk recognised by the patient as his instability. Dynamic Anterior Jerk Test - The test combines of a compression force and a translation force, applied along the arm between the humeral head and the glenoid cavity. (courtesy of Jo Gibson, specialist shoulder therapist, Liverpool) At the limit of range the examiner suddenly removes the posteriorly directed force from the relocation test and again a feeling of apprehension is considered a positive test. As in the Jobe relocation tests the patient's arm is maximally externally rotated with a posteriorly directed force applied to the humeral head. It is an extremely provocative test and should be used with caution. Surprise/Release Test - This manoeuvre is variously described but essentially is the fmal component of the apprehension and relocation tests. Displacement of the index finger is positive Leffert Test - Examiner displaces the humeral head anteriorly holding the humeral head over the shoulder with the thumb posteriorly and index finger anteriorly. executes a throwing motion against the examiners resistance. bends forward slightly with the arm relaxed.The examiner move the arm slightly inferior and anterior by pulling on the forearm Jobe Relocation (Fulcrum Test) - Original Article Examiner immobilisers scapula with one arm whilst the other grasps the arm and pulls it anteriorly. is supine and arm abducted over edge of couch. Anterior Drawer Test ( Gerber-Ganz Anterior Drawer Test) - Pt. Anterior Load and Shift (laxity test). Bryants Sign - look for lowering of axillary fold - (+)dislocation on low side Calloways -measure girth of affected shoulder & compare to unaffected -(+)increased girth indicates dislocation Seated & instructed to place hand on opposite shoulder and touch elbow to chest - (+)pain & inablility to perform indicates dislocation Palm Sign and Finger Sign Test - Patient demonstrates their pain in two ways: with palm of opposite hand over acromion (= subacromial or GHJ pain), or with opposite finger over ACJ (= ACJ pathology) In early stages of cuff disease only active motion is reduced, but later passive motion reduces. Examiner stands behind patient and stabilises scapula with one hand, whilst other hand holds patient's arm and moves arm in every direction. Codman Sign - tests passive motion of shoulder. Places hand on opposite shoulder, moves elbow to forehead - (+)intensifies & localized pain Please contact us if you find inaccuracies below. Īlso, some of the descriptions or names below might be incorrect. If you have a description, reference or even a test not listed here, please contact us. ![]() I hope to add descriptions, videos and references for the tests soon. So far, I have tried to collect as many of the tests I can find and list them here. ![]() Also, many different tests have been described by the same person. Many similar tests have been described by different people and given different names. Numerous clinical tests described for shoulder examination. ![]()
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