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Posterior Apprehension Test

Posterior Apprehension Test


Name
Purpose1
Description1
Sensitivity, Specificity
DOR
Reliability Validity
Likelihood Ratio +/-
Posterior Apprehension Test
Tests for dislocation or posterior instability of the humerus
The patient should be supine or sitting while the examiner elevates the patient’s shoulder in the plane of the scapula to 90° while using the other hand to stabilize the scapula. The examiner then applies a force posterior on the patients elbow while horizontally adducting and internally rotating the arm. Apprehension is a positive sign.
Sensitivity=
19.22
Specificity=
99.22
 
 
 
LR =
24.972

1.       Magee DJ.  Orthopedic Physical Assessment. 5th ed. St. Louis, MO: Saunders Elsevier; 2008.
2.       Jia X, Petersen SA, Khosravi MS, Almareddi V, Pannirselvam V, McFarland EG. Examination of the shoulder: The past, the present and the future. J Bone Joint Surg Am. 2009; 91:10-18.