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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