Gilcrest Palm-Up Test |
Examination type |
Tendon
pathology/integrity |
Patient & Body Segment Positioning |
Patient
stands holding a 5-7 pound weight in their hand over their head
with the elbow extended and arm laterally rotated so that the
palm is facing up. |
Examiner Position |
The examiner
should stand in front of the patient to observe for pain or
tenderness in the bicipital groove during the test. The
examiner should also listen for any audible popping sounds. |
Tissues
Being Tested |
biceps
tendon |
Performing the Test |
The patient
keeps the palm facing up and tries to lower the weight to their
side in a coronal plain (adduction). |
Positive Test |
Discomfort,
pain, or tenderness in the bicipital groove; may hear an audible
snap when arm reaches between 900 and 1000
of abduction |
Interpretation |
Bicipital
paratenonitis or tendionosis |
Common errors in
performing exam |
Not keeping
the palm facing upward (arm externally rotated) |
Factors possibly
resulting in misinterpretation |
An audible
snapping or popping noises does not occur in all cases. Pain
with this test should be in the bicipital groove. Pain in other
locations is indicative of other shoulder pathology. |
Related tests |
Speed's
Test, Yergason’s test, Ludington’s test, Lippman’s test,
Heuter’s sign |
References |
Magee.
Orthopedic Physical Assessment. 4th Ed. 2002. |
Links: |
http://www.emedicine.com/pmr/topic16.htm |
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