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Athletic Training & Sports Medicine Center

Examination Links:

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Alphabetical Listing
of Examinations
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Head

Cervical Spine

Thoracic Spine

Lumbar Spine

Shoulder

Elbow & Radioulnar

Wrist

Hand & Fingers

Sacroiliac Joint

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Ipsilateral Prone Kinetic Test
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FABER Test
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Passive Extension & Internal 
Rotation of Ilium on Sacrum

Passive Flexion & External 
Rotation of Ilium on Sacrum

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Passive External Rotation 
of Hip
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Pelvic Rocking Test
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Gapping Test
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Prone Gapping (Hibb's) Test
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Approximation Test
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Squish Test
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Sacroiliac Rocking Test
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Sacral Apex Pressure Test
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Torsion Stress Test
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Femoral Shear Test
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Superoinferior Symphysis
Pubic Stress Test

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Piedallu's Sign
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Flamingo Maneuver or Test
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Gaenslen's Sign
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Mazion's Pelvic Maneuver
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Yeoman's Test
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Sit-up Test
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Hip & Thigh

Knee

Lower Leg

Ankle

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Foot
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- ```
Morton Test
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Range of Motion
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Goniometry
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Manual Muscle Testing
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Reflexes
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Vital Signs
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Body Composition
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Glenoid Labrum Clunk Test

Other Names

Interior Derangement Test, Anterior Instability Test, Glenohumeral Labrum Tear Test, Clunk Test

Examination type

Joint stability

Patient & Body Segment Positioning

The patient should lie supine with the glenohumeral joint slightly over the edge of the table and the shoulder completely relaxed throughout the test. The examiner should place the involved shoulder into full abduction above the patient’s head with the elbow slightly flexed.

Examiner Position

The examiner should place one hand on the posterior aspect of the shoulder over the head of the humerus, cupping the posterior aspect of the shoulder with the palm on the top of the shoulder and the fingers toward the axilla. The examiner’s other hand is used to move the arm by holding the humerus proximal to the elbow.

Tissues Being Tested

Glenoid labrum

Performing the Test

The examiner should passively abduct and externally rotate the subject’s arm overhead and apply an anterior force to the humerus. The examiner then internally and externally rotates the humerus. The examiner then circumducts the humeral head about the glenoid labrum.

Positive Test

A clunk or grinding noise or sensation indicates a positive test.

Interpretation

Tear in the glenoid labrum

Common errors in performing exam

The most common error in performing this exam is the examiner not correctly applying the appropriate degrees of passive motion. The person performing the exam will often only apply sight anterior pressure instead of enough to produce an accurate test result. The anterior pressure is what will cause the labrum to “catch” along the joint line.

Factors possibly resulting in misinterpretation

Extreme apprehension due to recent shoulder dislocation as this test may also produce apprehension if anterior instability is present. Painful ROM may be due to rotator cuff impingement, strain or tear instead of labrum injury

Related tests

Active Compression Test (ACT) of O’Brien, Anterior Slide test, Biceps Tension Test, Biceps Load Test, SLAP prehension test, Labral crank test, Pain provocation test, Compression rotation test

References

Magee. Orthopedic Physical Assessment. 4^th Ed. 2002.

Links:

http://www.hope.edu/academic/kinesiology/athtrain/program/

studentprojects/Ldornbos2/shoulder/sld076.htm

http://www.chiroweb.com/archives/16/26/21.html

http://www.studystack.com/studytable-19704

http://www.aafp.org/afp/20000601/3291.html

http://www.orthop.washington.edu/uw/evaluation/tabID__3376/ItemID

__254/PageID__540/Articles/Default.aspx

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