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Related Experiment Videos

An evaluation of the shoulder relocation test

K P Speer1, J A Hannafin, D W Altchek

  • 1Hospital for Special Surgery, Department of Sports Medicine, New York, New York.

The American Journal of Sports Medicine
|March 1, 1994
PubMed
Summary

The shoulder relocation test shows promise for diagnosing shoulder instability, with pain and apprehension responses aiding in identification. Further research is needed to confirm its diagnostic accuracy in surgical patients.

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Area of Science:

  • Orthopedic Surgery
  • Diagnostic Accuracy Studies
  • Shoulder Biomechanics

Background:

  • Shoulder instability and rotator cuff disease are common conditions requiring accurate diagnosis.
  • The shoulder relocation test is a clinical maneuver used to assess shoulder instability.

Purpose of the Study:

  • To evaluate the diagnostic performance of the shoulder relocation test.
  • Assessing sensitivity, specificity, predictive values, and accuracy in patients undergoing shoulder surgery.

Main Methods:

  • 100 patients undergoing shoulder surgery were evaluated.
  • The shoulder relocation test was performed in the 90 degrees/90 degrees position.
  • Pain and apprehension were assessed with and without applied forces.

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Main Results:

  • Pain was reported by a majority of patients in various positions and with applied forces.
  • Apprehension responses were primarily observed in the anterior instability group.
  • The test differentiated between anterior instability and rotator cuff disease based on patient responses.

Conclusions:

  • The shoulder relocation test may be a valuable tool in diagnosing shoulder instability.
  • Further validation is required to establish its definitive role in clinical practice.
  • The test's ability to elicit pain and apprehension aids in differential diagnosis.