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Horizontal Adduction (Two Angles)

Horizontal Adduction Test (anterior view)

Horizontal Adduction Test (lateral view)

Name
Purpose1
Description2
Sensitivity, Specificity
DOR
Reliability
Likelihood Ratio +/-
Horizontal Adduction Test
Tests for AC joint damage or sub- acromial impingement
 With the patient in a sitting position the examiner stands with one hand on the posterior aspect of the shoulder to stabilize the trunk and the other hand holding the subjects elbow of the arm being tested. With the trunk stabilized the examiner passively moves the shoulder into maximum horizontal adduction.
Sensitivity: Impingement = 233-824
Rotator Cuff Tear= 904
AC joint pathology = 775
Specificity:
Impingement =284-823
Rotator Cuff Tear = 294
AC pathology = 795
 
Impingement =1.373-1.774
Rotator Cuff Tear = 3.634
AC pathology =12.625
K=
 .086-.296
 
LR+
Impingement =1.134-1.273
Rotator Cuff Tear=1.274
AC pathology = 3.665
LR-
Impingement = .644-.933
Rotator Cuff Tear= .354
AC pathology = .295

 
1.       Cook CE, Hegedus EJ. Orthopedic physical examination tests: An evidence-based approach. Upper Saddle River, NJ: Pearson prentice Hall; 2008.
2.        Konin JG, Wiksten DL, Isear JA, Brader H. Special tests for orthopedic examination. 3rd ed. Thorofare, NJ: SLACK incorporated; 2006.
3.       Park HB, Yokota A, Gill HS, El Rassi G, McFarland EG. Diagnostic accuracy of clinical tests for the different degrees of sub-acromial impingement syndrome. J Bone Joint Surg Am. 2005; 87: 1446-1455.
4.       Calis M, Akgun K, Birtane M, Karacan I, Calis H, Tuzun F. Diagnostic values of clinical diagnostic tests in sub-acromial impingement syndrome. Ann Rheum Dis. 2000; 59:44-47.
5.       Chronopoulous E, Kim TK, Park HB, Ashenbrenner D, McFarland EG. Diagnostic values of physical tests for isolated chronic acromioclavicular lesions. Am J Sports Med. 2004; 32: 655-661.
6.       Ostor AR, Richards CA, Prevost AT, Hazleman BL, Speed CA. Interrater reproducibility of clinical tests for rotator cuff lesions Ann Rheum Dis. 2004; 63: 1288-1292.