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User:Redtiger13/Clunk Test of the Shoulder

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Clunk Test of the Shoulder

Purpose

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This test is most appropriately used to assess a superior labral tear or a glenoid labrum tear.

Procedure

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Patient Position

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Laying on their back with the injured shoulder slightly hanging off the table.

Position of Examiner

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On 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

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Examiner passively abducts and externally rotates the arm overhead. Then the examiner circumducts hte humeral head around the glenoid labrum.

Mechanism

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The glenoid labrum makes the socket of the "ball and socket joint" of the shoulder deeper as to give it more protection in movement.

Results

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Positive Test: Grinding or clunking that can be felt and heard. Implications: Glenoid Labrum Tear.

Adverse Effects

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It 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

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No significant history was found on the Clunk test of the Shoulder.

References

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Konin, 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>.

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http://www.youtube.com/watch?v=qy19mEJ89Sc