Inferior Sulcus Test: Difference between revisions
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'''Original Editor '''- [[User:Tyler Shultz|Tyler Shultz]] | |||
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== Purpose == | |||
| | The sulcus test is used to assess the [[Glenohumeral Joint|glenohumeral joint]] for inferior instability, due to laxity of the superior glenohumeral ligament and coracohumeral ligament.<ref>Tzannes, A., Murrell, G. (2002). Clinical examination of the unstable shoulder. Journal of Sports Medicine. 32(7):447-57.</ref><ref>Tzannes A, Murrell GA. [https://www.researchgate.net/profile/George-Murrell/publication/11355503_Clinical_Examination_of_the_Unstable_Shoulder/links/02bfe5114217fb55e0000000/Clinical-Examination-of-the-Unstable-Shoulder.pdf Clinical examination of the unstable shoulder.] Sports Medicine. 2002 Jun;32:447-57.</ref><br> | ||
== | == Technique == | ||
The | The patient sits upright with their shoulder in neutral (0 degrees rotation). The examiner then pulls the distal part of the [[humerus]] in a caudal direction<ref name=":0">Eshoj H, Ingwersen KG, Larsen CM, Kjaer BH, Juul-Kristensen B. [https://bmjopen.bmj.com/content/bmjopen/8/3/e018472.full.pdf Intertester reliability of clinical shoulder instability and laxity tests in subjects with and without self-reported shoulder problems.] BMJ open. 2018 Mar 1;8(3):e018472.</ref><ref>Dutton, M. (2008). Orthopaedic: Examination, evaluation, and intervention (2nd ed.). New York: The McGraw-Hill Companies, Inc.</ref>. The test is considered positive when the subacromial space is more than 1cm<ref name=":0" />.<br> | ||
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== Evidence == | == Evidence == | ||
The sulcus test has been shown to have significant between tester differences and has moderate reliability (κ 0.43)<ref name=":0" /> | |||
== References | == References == | ||
<references /> | <references /> | ||
[[Category:Special_Tests]] | |||
[[Category:Shoulder]] | |||
[[Category:Shoulder - Special Tests]] | |||
[[Category:Shoulder - Assessment and Examination]] | |||
[[Category:Musculoskeletal/Orthopaedics]] | |||
[[Category:Sports Medicine]] | |||
[[Category:Athlete Assessment]] | |||
[[Category:Assessment]] | |||
Latest revision as of 21:00, 23 May 2023
Original Editor - Tyler Shultz
Top Contributors - Rachael Lowe, Admin, Tyler Shultz, Kim Jackson, Wendy Snyders, Tony Lowe, WikiSysop, Evan Thomas, Naomi O'Reilly, Kai A. Sigel and Wanda van Niekerk
Purpose[edit | edit source]
The sulcus test is used to assess the glenohumeral joint for inferior instability, due to laxity of the superior glenohumeral ligament and coracohumeral ligament.[1][2]
Technique[edit | edit source]
The patient sits upright with their shoulder in neutral (0 degrees rotation). The examiner then pulls the distal part of the humerus in a caudal direction[3][4]. The test is considered positive when the subacromial space is more than 1cm[3].
Evidence[edit | edit source]
The sulcus test has been shown to have significant between tester differences and has moderate reliability (κ 0.43)[3]
References[edit | edit source]
- ↑ Tzannes, A., Murrell, G. (2002). Clinical examination of the unstable shoulder. Journal of Sports Medicine. 32(7):447-57.
- ↑ Tzannes A, Murrell GA. Clinical examination of the unstable shoulder. Sports Medicine. 2002 Jun;32:447-57.
- ↑ 3.0 3.1 3.2 Eshoj H, Ingwersen KG, Larsen CM, Kjaer BH, Juul-Kristensen B. Intertester reliability of clinical shoulder instability and laxity tests in subjects with and without self-reported shoulder problems. BMJ open. 2018 Mar 1;8(3):e018472.
- ↑ Dutton, M. (2008). Orthopaedic: Examination, evaluation, and intervention (2nd ed.). New York: The McGraw-Hill Companies, Inc.
