ANTERIOR SHOULDER (GH) INSTABILITY

✔ Anterior (Apprehension) Release Test (“Surprise”)

 POSITION: Supine with shoulder abducted between 80 - 120˚, forward flexed up to 20˚ and
laterally rotated 30˚
 EXAMINER: Stabilize elbow and distal humerus ; grasp humeral head and lift it forward
 Examiner draws the humerus forward
 (+) SIGN: reproduction of symptoms INDICATION: Anterior Instability
 (+) SIGN: hears a clunk (click) INDICATION: Anterior Labral Tear
 Test modification of the Load and Shift test

✔ Crank (Apprehension) and Relocation Test

 CRANK TEST
o POSITION: Supine
o EXAMINER: abducts the arm to 90˚ and laterally rotates the patient’s shoulder slowly.
By placing the hand under the GH joint to act as a fulcrum
o (+) SIGN: Pain and apprehension INDICATION: Traumatic Instability
 RELOCATION TEST
o If patient experience apprehension during ER, examiner places firm hand over the
anterior shoulder, increasing shoulder stability
o Examiner again applies an ER to the shoulder
o Apply a mild anterior-directed force to the posterior humeral head when in the test
position to see if apprehension or pain increases
o (+) SIGN: Apprehension during 1st ER INDICATION: Anterior instability of GH Joint

❗ Load and Shift Test

 POSITION: sits with no back support

 (+) SIGN:
o Normal Laxity: 1 – 25%
o Grade 1: Head rides over the glenoid rim (25 – 50%)
o Grade 2: head over rides the rim but reduces (> 50%)
o Grade 3: head over riding the rim and remains dislocated

Posterior Shoulder (GH) Instability

✔ Jerk Test

❗ Load and Shift Test

❓Norwood Test

❓Posterior Apprehension Test

❓Posterior Drawer Test

Inferior and Multidirectional Shoulder (GH) Joint

❓Feagin Sign

✔ Sulcus Sign

Anterior Impingement

✔ Coracoid Impingement Sign

✔ Hawkins-Kennedy Test

✔ Neer Test

✔ Supine Impingement Test

✔ Yokum Test

✔ Zaslav Test (IRRST)

Posterior Impingement

❓Posterior Internal Impingement Test

Labral Lesions

✔ Active Compression Test of O’Brien

❗ Anterior Slide Test

❗ Biceps Tendon Test

❗ Biceps Tendon Test (Kim Test II)

❗ Clunk Test

❗ Compression Rotation Test

❓Dynamic Labral Shear Test

❗ Forced Shoulder Abduction and Elbow Flexion Test

✔ Kim Test I (Biceps Load Test II)

❗ Mayo Shear Test

❗ Pain Provocation Test

❗ Resisted Supination External Rotation Test (RSERT)

Scapular Dykinesia

❗ Lateral Scapular Slide Test

✔ Scapular Load Test

❗ Scapular Retraction Test (SRT)

❓Wall/Floor Push Up

Acromioclavicular Joint Pathology

✔ Horizontal Adduction Test

✔ Paxinos Sign

Ligament Pathology

❓ Coracoclavicular Ligament Test

✔ Crank Test

Muscle Pathology
Biceps

✔Speed’s Test

✔ Yergason’s Test

Supraspinatus

❗ Drop Arm Test

✔ Empty Can Test

Subscapularis

❓ Bear-Hug Test

❓ Belly Press Test (Abdominal Compression or Napoleon Test)

✔ External Rotation Laag Sign (ERLS)

 ✔ Lift-off Sign (Gerber’s Test)

✔ Medial Rotation Lag or “Spring Back” Test

Infraspinatus

❗ Dropping Sign

✔ Infraspinatus Test

✔ Lateral Rotation Lag Sign

Teres Minor

❗ Hornblower’s Sign

Rotator Cuff (General)

✔ Rent Test

✔ Whipple Test

Trapezius

✔ Trapezius Test (Three Positions)

Serratus Anterior

✔ Punch Out Test

Neurological Function

✔ ULNT

Thoracic Outlet Syndrome