Athletic Training & Sports Medicine Center

 

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Inferior Drawer (Feagin) Test

Examination type Joint stability, ligamentous laxity
Patient & Body Segment Positioning The patient will stand with the involved arm abducted to 90 degrees with the elbow extended and resting on the top of the examiners shoulder so that the shoulder is completely relaxed.
Examiner Position The examiner stands facing the involved side of the patient with the involved arm resting on his or her shoulder.  The examiner’s hands are clasped together and resting on the upper 1/3 of the patient’s humerus.
Tissues Being Tested Rotator cuff muscles, inferior glonohumeral ligament
Performing the Test The examiner makes sure that the shoulder musculature is relaxed and then the examiner uses his clasped hands to push the head of the humerus down and forward.
Positive Test

A sulcus may be seen above the coracoid process or the patient may show apprehension to the test.

 
Interpretation

Indicates anteroinferior instability; may also indicate insufficiency of the inferior glenohumeral ligament

If the Sulcus test and the feagin test are both positive, it is a good indication of multidirectional instability.
Common errors in performing exam Test should be performed bilaterally for comparison.  It is also important that the shoulder be completely relaxed throughout the test.
Factors possibly resulting in misinterpretation Joint hyper mobility
Related tests Sulcus sign, Rowe test for multidirectional instability
References Magee. Orthopedic Physical Assessment. 4th Ed. 2002.
Links:

http://www.fpnotebook.com/ORT121.htm

http://www.aafp.org/afp/990515ap/2773.html
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