Hornblower's Sign: Difference between revisions

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== Technique<ref name="Magee et al">Magee DJ, 2002, Orthopedic Physical Assessment, 4th edition, Philadelphia: Saunders</ref><br>  ==
== Technique<ref name="Magee et al">Magee DJ, 2002, Orthopedic Physical Assessment, 4th edition, Philadelphia: Saunders</ref><br>  ==


The patient is seated or standing.&nbsp; The examiner places the patient's arm to 90<sup>o&nbsp;</sup>in the&nbsp;scapular plane and&nbsp;flexes the elbow to 90<sup>o</sup>.&nbsp; The patient is then asked to externally rotate against resistance.&nbsp; The test is positive if the patient is unable to perform external rotation.<br> {{#ev:youtube|KcNBtbVaatY|300}}<ref>Clinically Relevant Technologies, http://www.youtube.com/watch?v=KcNBtbVaatY; Accessed May 2011</ref>  
The patient is seated or standing.&nbsp; The examiner places the patient's arm to 90<sup>o&nbsp;</sup>in the&nbsp;scapular plane and&nbsp;flexes the elbow to 90<sup>o</sup>.&nbsp; The patient is then asked to externally rotate against resistance.&nbsp; The test is positive if the patient is unable to perform external rotation.<br>  
{{#ev:youtube|am5XZ1VnoLc}}<ref>Physiotutors. Hornblower's Sign | Teres Minor & Infraspinatus Insufficiency. Available from: https://www.youtube.com/watch?v=am5XZ1VnoLc</ref>


== Evidence <ref name="Walch et al">Walch G, Boulahia A, Calderone S, Robinson AHN. The 'dropping' and 'hornblower's' signs in evaluation of rotator cuff tears. 1998; 80: 624-28.</ref><ref name="Cleland">Cleland J, 2005, Orthopedic Clinical Examination: An Evidence-Based Approach for Physical Therapists, 1st edition, New Jersey: Icon Learning Systems LLC.</ref>  ==
== Evidence <ref name="Walch et al">Walch G, Boulahia A, Calderone S, Robinson AHN. The 'dropping' and 'hornblower's' signs in evaluation of rotator cuff tears. 1998; 80: 624-28.</ref><ref name="Cleland">Cleland J, 2005, Orthopedic Clinical Examination: An Evidence-Based Approach for Physical Therapists, 1st edition, New Jersey: Icon Learning Systems LLC.</ref>  ==

Revision as of 13:48, 28 September 2017

Purpose
[edit | edit source]

To test for teres minor tear.

Technique[1]
[edit | edit source]

The patient is seated or standing.  The examiner places the patient's arm to 90in the scapular plane and flexes the elbow to 90o.  The patient is then asked to externally rotate against resistance.  The test is positive if the patient is unable to perform external rotation.

[2]

Evidence [3][4][edit | edit source]

Sensitivity 1.0
Specificity .93
+LR 14.29
-LR 0.0

Resources[edit | edit source]

Recent Related Research (from Pubmed)[edit | edit source]

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References[edit | edit source]

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  1. Magee DJ, 2002, Orthopedic Physical Assessment, 4th edition, Philadelphia: Saunders
  2. Physiotutors. Hornblower's Sign | Teres Minor & Infraspinatus Insufficiency. Available from: https://www.youtube.com/watch?v=am5XZ1VnoLc
  3. Walch G, Boulahia A, Calderone S, Robinson AHN. The 'dropping' and 'hornblower's' signs in evaluation of rotator cuff tears. 1998; 80: 624-28.
  4. Cleland J, 2005, Orthopedic Clinical Examination: An Evidence-Based Approach for Physical Therapists, 1st edition, New Jersey: Icon Learning Systems LLC.

[[[Category:EIM Student Project 2]]