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Clinical Tests for Shoulder

Shoulderdoc
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Clinical Tests for Shoulder
Shoulder Examination TestsShoulder Examination Tests
Anterior Apprehension TestAnterior Apprehension Test
Anterior Drawer TestAnterior Drawer Test
Biceps Load TestBiceps Load Test
Biceps Load Test 2Biceps Load Test 2
Empty Can/Full Can TestEmpty Can/Full Can Test
Hawkins-Kennedy TestHawkins-Kennedy Test
Inferior Sulcus TestInferior Sulcus Test
Jobe Relocation TestJobe Relocation Test
Lift-Off TestLift-Off Test
Load & Shift TestLoad & Shift Test
Neer Impingement SignNeer Impingement Sign
OBriens TestOBriens Test
Pain Provocation TestPain Provocation Test
Posterior Drawer TestPosterior Drawer Test
SLAPprehension TestSLAPprehension Test
Speeds TestSpeeds Test
Yergasons TestYergasons Test
The Shoulder Symptom Modification Procedure (SSMP)The Shoulder Symptom Modification Procedure (SSMP)



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Inferior Sulcus Test

Jo Gibson, 2005

Originally described by Neer and Foster in 1980 and reported as an essential finding in the diagnosis of multidirectional instability.

Test

The patient is examined in sitting or standing and the shoulder is in a neutral position. It is important that the shoulder muscles are relaxed and that stress is applied above the elbow. (This eliminates the effect of the biceps and
triceps brachii).

With the arm grasped inferior traction is applied. The examiner watches for dimpling of the skin below the acromion. Palpation reveals widening of the subacromial space between the acromion and the humeral head.

Positive

  • Grade as: I II III
  • or 2cm translation

Research

No available data

Reported as the essential diagnostic criteria for Multidirectional instability, however it should be noted that this could also be a sign of a rotator interval lesion and/or an injury of the superior ligament complex (in Multidirectional instability there is usually a convincing sulcus bilaterally). This type of lesion should be considered especially if the amount of inferior translation does not decrease with external rotation.

 

at the top; towards the head
A tough band of connective tissue that connects two bones to each other. "Ligament" is a fitting term; it comes from the Latin "ligare" meaning "to bind or tie."
at the side or outer aspect
joint is unstable; it repeatedly slips out of it's socket, recurrently dislocates or feels unstable.
at the botom; towards the feet


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