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Shoulder Exam
Shoulder Exam
The apprehension test of the shoulder is used to assess for instability of the glenohumeral joint, by applying pressure as if to anteriorly dislocate the glenohumeral joint.
The Patient
Look
Feel
Move - Glenohumeral Joint
Move - Scapula
Special Tests - Rotator Cuff
- SITS: Supraspinatus, Infraspinatus, Teres Minor, Subscapularis
Lift Off Test
Subscapularis tendon rupture
Resisted internal rotation away from back; look for weakness
Empty Can Test
Supraspinatus tear / impingement
Internally rotate, abduct 90° + flex 30° with thumb pointing down. Resisted superior movement.
Apley Scratch Test
Rotator cuff tear
Reach over opposite shoulder, behind neck, behind back; look for limited ROM
Special Tests - Instability
Special Tests - Impingement
Shoulder Apprehension Test
Overview
- The apprehension test of the shoulder is used to assess for instability of the glenohumeral joint, by applying pressure as if to anteriorly dislocate the glenohumeral joint.
Position
- Supine or upright.
How to Perform
- Abduct patient's arm to 90°, externally rotate the shoulder and apply an anteriorly-directed pressure to the posterior humerus.
Abnormal If
- Pain, or it the patient becomes apprehensive about impending dislocation of their shoulder.
Last updated on November 28th, 2019
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