Hornblower's Sign: Difference between revisions

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


{{#ev:youtube|am5XZ1VnoLc}}<ref>Physiotutors. Hornblower's Sign | Teres Minor & Infraspinatus Insufficiency. Available from: https://www.youtube.com/watch?v=am5XZ1VnoLc</ref>
{{#ev:youtube|KcNBtbVaatY|300}}<ref>Clinically Relevant Technologies, http://www.youtube.com/watch?v=KcNBtbVaatY; Accessed May 2011</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 12:05, 18 June 2019

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 90oin 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

References[edit | edit source]

  1. Magee DJ, 2002, Orthopedic Physical Assessment, 4th edition, Philadelphia: Saunders
  2. Clinically Relevant Technologies, http://www.youtube.com/watch?v=KcNBtbVaatY; Accessed May 2011
  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.