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Clunk Test of the Shoulder
Purpose
editThis test is most appropriately used to assess a superior labral tear or a glenoid labrum tear.
Procedure
editPatient Position
editLaying on their back with the injured shoulder slightly hanging off the table.
Position of Examiner
editOn the side of patient. The examiner places one hand on the back side of the humeral head and the other hand close to the patient's elbow joint.
Evaluative Procedure
editExaminer passively abducts and externally rotates the arm overhead. Then the examiner circumducts hte humeral head around the glenoid labrum.
Mechanism
editThe glenoid labrum makes the socket of the "ball and socket joint" of the shoulder deeper as to give it more protection in movement.
Results
editPositive Test: Grinding or clunking that can be felt and heard. Implications: Glenoid Labrum Tear.
Adverse Effects
editIt is possible to get a false positive on this test if the patient has an inferior labral tear or instability in the glenohumeral joint.
History
editNo significant history was found on the Clunk test of the Shoulder.
References
editKonin, Jeff G. "Section 4." Special Tests for Orthopedic Examination. Thorofare, NY: SLACK, 2006. Print.
"SHOULDER EXAMINATION STRESS TESTS." University of West Alabama. Web. 11 Mar. 2011. <http://at.uwa.edu/Special Tests/SpecialTests/UpperBody/shoulder Main Page.htm>.