Current Section
Relocation Test
Relocation Test
|
Name
|
Purpose
|
Description2
|
Sensitivity, Specificity
|
DOR
|
Reliability Validity
|
Likelihood Ratio +/-
|
|
Relocation Test
|
Checks for possible glenohumeral instability, dislocation and subluxation1. This test should be done following the apprehension test especially if anterior instability is suspected2.
|
With the patient supine, the therapist pre-positions the shoulder at 90° of abduction and maximal external rotation. The examiner grasps the subject’s wrist and hand with his/her distal hand while applying a posterior force to the humeral head while externally rotating the shoulder.
|
Sensitivity= 363-754
Specificity=
404-873
|
DOR=
0.015 – 5.283
|
ICC for amount of External rotation= 0.896
Pain ICC= 0.317
Apprehension ICC = 0.717
|
LR+ =
.968-3.383
LR- =
.634-1.058
|
1. Magee DJ. Orthopedic Physical Assessment. 5th ed. St. Louis, MO: Saunders Elsevier; 2008.
2. Konin JG, Wiksten DL, Isear JA, Brader H. Special Tests for Orthopedic Examination. 3rd ed. Thorofare, NJ: Slack Incorporated; 2006.
3. Guanche CA, Jones DC. Clinical testing for tears of the glenoid labrum. Arthroscopy. 2003; 19:517-523.
4. Nakagawa S, Toneda M, Hayashida K, Obata M, Fukushima S, Miyazaki Y. Forced shoulder abduction and elbow flexion test: a new simple clinical test to detect superior labral injury in the throwing shoulder. Arthroscopy. 2005; 21: 1290-1295.
5. Morgan CD, Burkhart SS< Palmeri M, Gillespie M. Type II SLAP lesions: three subtypes and their relationships to superior instability and rotator cuff tear. Arthroscopy. 1998; 14: 553-565.
6. Lo IK, Nonweiler B, Woolfrey M, Litchfield R, Kirkley A. An evaluation of the apprehension, relocation and surprise tests for anterior shoulder instability. Am J Sports Med. 2004; 32:301-307.
7. Tzannes A, Paxinos A, Callanan M et al: An assessment of the interexaminer reliability of tests for shoulder instability, J Shoulder Elbow Surg 2004; 13(1):18-23.
8. Speer KP, Hannafin JA, Altchek DW, Warren RF. An evaluation of the shoulder relocation test. Am J Sports Med. 1994; 22:177-183.
