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Shoulder Exam
 
 

Apley Scratch Test

 
 
 
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Overview

  • The Apley scratch test is used to assess the range of motion of the glenohumeral joint, and potential rotator cuff tear.

    • How to Perform

    • Ask the patient to reach behind their head and touch the medial aspect of the opposite scapula (abduction & external rotation).
    • Ask the patient to reach across their chest and touch the acromion of the opposite shoulder (internal rotation & adduction).
    • Ask the patient to reach behind their back and touch the inferior angle of the opposite shoulder (internal rotation and adduction).

    • Abnormal If

    • Inability to complete these motions smoothly.
 
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