Shoulder Examinations, Labral Tear, Tests - Everything You Need To Know - Dr. Nabil Ebraheim
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- Опубликовано: 30 янв 2013
- Dr. Ebraheim’s educational animated video describes the clinical examination tests associate with injury to the shoulder joint.
Anterior shoulder dislocation
The patient will be unable to touch the opposite shoulder.
Anterior load & shift test
•Patient is sitting upright
•The examiner grasps the proximal part of the humerus and applies anterior and posterior stresses to assess the anterior stability of the joint.
•A positive assessment with show anterior instability of the glenohumeral joint.
Anterior apprehension & relocation test
•Patient can be either sitting or lying supine with the arm abducted and externally rotated.
•The examiner will externally rotate the shoulder of the patient in order to elicit a response of apprehension.
•Eliciting pain and sensation of impeding dislocation indicates anterior instability. The relocation sign is positive if the shoulder pain is relieved when the examiner applies direct posterior pressure over the proximal humerus.
Posterior shoulder dislocation
Patient will have loss of shoulder external rotation.
Posterior load & shift test
•Patient is sitting upright.
•The examiner grasps the proximal part of the humerus and applies anterior and posterior stresses to assess the joint stability.
•A positive assessment will show posterior instability of the glenohumeral joint.
Jerk tests: instability of the glenohumeral joint & posterior labrum
•The patient’s arm is abducated to 90 degrees and internally rotated.
•The examiner axially loads the humerus while the arm is moved horizontally across the body.
•A positive test is indicated by sharp pain in the shoulder with or without a clicking sound.
Posterior apprehension test
•The posterior apprehension test is very similar to the jerk test.
•Patient should be supine on the table with the involved shoulder abdcucted and anteriorly flexed at 90. The elbow is also flexed a 90.
•The examiner will stand at the involved side with one hand stabilizing the scapula and applying axial pressure with the other hand at the elbow.
•If the patient expresses an apprehensive response such as pain or sense of impending dislocation, this indicates posterior instability of the shoulder.
Multidirectional instability
Sulcus test
•Patient is standing or sitting upright.
•The examiner will grasp the patients humerus at the elbow and applies downward traction.
•A sulcus will appear at the acromiohumeral iinterval indicating inferior subluxation of the shoulder.
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Great work! Thanks!
Great video. Thanks!
Thank you for all your great videos! They are very helpful learning tools, I just have two questions...
Why would a patient be unable to touch their opposite shoulder with an anterior shoulder dislocation?
And loss of external rotation with a posterior dislocation?
I don't think that always is the case. I have a labral anterior/inferior tear in my left shoulder and I can still touch my other shoulder
The anterior apprehension and relocation test gives pain the the lower rear delt closer to the middle delt. It gives nothing in the front delt. What else is that test used for?
Quite the jumpscare at the end there lol
But a good video, thank you. Now I'm even more certain I have a labral tear or damage =P... Fun
hello doctor nabil. i practise the gymnastics and breakdance and i have an injury in my right shoulder because i did something wrong and i went to doctor and he asked me to make x-Ray and i already did and the the result was that in report "torn antero-inferior glenoid labrum with mild joint effusion"...i took alot of medicines and Physiotherapy sessions for two months and there isn`t any result and i dont know what i should do?...
Bboy Claw Research, but surgery is often needed.
My shoulder has been killing me for 6 years, x-rays show nothing and i never did an mri... I cant even pick up a glass of water or get comfortable sitting down... Im tired of the pain, i want it to go away :(
sam shit here..... 8 years... and i am 21.... and doctors in roumania could not help me, spent 800 euros on consultation... nothing....
did and mri and xray.... nothing says the doctor, but acording to human shoulder and the mechanism behind, i thing is lambrum or something around it....
i thought of replacing my hand with something metalic, at least that won't hurt me any longer... but with that thing i can;t play pc so that is not a good thing..
what happened was realy easy.. i pulled a fence sticked in the ground. My shoulder made a noise, a POC.
then i continued my work. after 10 minutes my hand stoped working, shaked really hard when tried to raise the hand to pocket!
1 week my hand was not usable, very low power, barely lifting a glass of water...
after 6 years the pain became a bit manageable, but sometimes i barely have power to lift 2 KG......
human body is..... bad....
Perianu Leon I am really sorry to hear about it...did you try rotator cuff strengthening exercises availiblr on youtube?
yes, and i found my lambrum is the problem, but a doctor must find that , not myself, or else i can't treat myself
@@leonperianu7684 ce ai mai făcut cu umărul? Te ai vindecat? Si eu am 5 luxații la umărul stâng și ma gandesc la operatie artroscopica
sick music