Orthopedics Book

Infectious Disease

Thoracic Spine Disorders

http://www.fpnotebook.com/

Shoulder Apprehension TestAka: Shoulder Relocation Test

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  1. See Also
    1. Shoulder Instability Exam
    2. Shoulder Anatomy
    3. Shoulder Exam
    4. Shoulder History
    5. Shoulder Pain
  2. Technique
    1. Patient's Start Position
      1. Elbow flexed 90 degrees
      2. Shoulder abducted 90 degrees
    2. Apprehension Maneuver
      1. Examiner holds patient's wrist
      2. Apply forward pressure from behind shoulder
      3. Externally rotate shoulder
      4. Positive if produces pain
    3. Relocation Maneuver
      1. Perform if Apprehension Test Positive
      2. Continue external rotation as above
      3. Apply backward pressure from front of shoulder
      4. Positive if pain reduced from Apprehension Test
  3. Interpretation
    1. Positive Apprehension Test
      1. Pain reduced on Relocation Test
        1. Anterior Shoulder Instability
      2. Pain NOT relieved on Relocation Test
        1. Acromioclavicular Impingement
    2. Negative Apprehension Test
      1. No obvious anterior Disability

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