User:Redtiger13/Clunk Test of the Shoulder
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Clunk Test of the Shoulder
Purpose[edit]
This test is most appropriately used to assess a superior labral tear or a glenoid labrum tear.
Procedure[edit]
Patient Position[edit]
Laying on their back with the injured shoulder slightly hanging off the table.
Position of Examiner[edit]
On the side of patient. The examiner places one hand on the back side of the humeral head and the other hand close to the patient's elbow joint.
Evaluative Procedure[edit]
Examiner passively abducts and externally rotates the arm overhead. Then the examiner circumducts hte humeral head around the glenoid labrum.
Mechanism[edit]
The glenoid labrum makes the socket of the "ball and socket joint" of the shoulder deeper as to give it more protection in movement.
Results[edit]
Positive Test: Grinding or clunking that can be felt and heard. Implications: Glenoid Labrum Tear.
Adverse Effects[edit]
It is possible to get a false positive on this test if the patient has an inferior labral tear or instability in the glenohumeral joint.
History[edit]
No significant history was found on the Clunk test of the Shoulder.
References[edit]
Konin, Jeff G. "Section 4." Special Tests for Orthopedic Examination. Thorofare, NY: SLACK, 2006. Print.
"SHOULDER EXAMINATION STRESS TESTS." University of West Alabama. Web. 11 Mar. 2011. <http://at.uwa.edu/Special Tests/SpecialTests/UpperBody/shoulder Main Page.htm>.