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Hornblower's Test

Hornblower's Test


Name
Purpose
Description
Sensitivity, Specificity
Validity, Reliability
Likelihood Ratio +/-
Hornblower’s Sign (Patte Test)
This test is used to determine the strength of the teres minor1.
“Both the therapist and the patient are standing. The therapist elevates the patient’s arm to 90 degrees in the scapular plane. The therapist then flexes the elbow to 90 degrees, and the patient is asked to laterally rotate the shoulder. A positive test occurs with weakness and/or pain.”[1]
Sensitivity
100%2,3
Specificity
93%2,3
 
LR+
122-14.293
LR-
0.03-0.052

1.       Magee DJ, Orthopedic Physical Assessment. 5th ed. St. Louis, MO: Saunders Elsevier; 2008.
2.       Walch G, Boulahia A, Calderone S, Robinson AHN. The `dropping’ and hornblower’s’ signs in evaluation of rotator-cuff tears. J Bone Joint Surg Br 1998; 80:624-8.
3.       Cleland J. Orthopaedic Clinical Examination: An evidence-based approach for physical therapist. Carlstadt, NJ Icon Learning Systems; 2005.