Jerk test: Difference between revisions

(New page: Purpose test used to detect posteroinferior instability of the shoulder Technique While stabilizing the patient’s scapula with one hand and holding the affected arm at 90° abducti...)
 
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Purpose  
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'''Original Editor '''- [[User:Derek Little|Derek Little]]
 
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== Purpose ==


test used to detect posteroinferior instability of the shoulder  
test used to detect posteroinferior instability of the shoulder  


Technique  
== Technique ==
 
While stabilizing the patient’s scapula with one hand and holding the affected arm at 90° abduction and internal rotation, the examiner grasps the elbow and axially loads the humerus in a proximal direction.The arm is moved horizontally across the body. A positive result is indicated by a sudden clunk as the humeral head slides off the back of the glenoid. When the arm is returned to the original position, a second jerk may be observed, that of the humeral head returning to the glenoid.<ref name="Kim">Kim et al. Painful Jerk Test:&nbsp;A Predictor of Success in Nonoperative Treatment of Posteroinferior Instability of the Shoulder.&nbsp;Am J Sports Med 2004 32: 1849 </ref>


While stabilizing the patient’s scapula with one hand and holding the affected arm at 90° abduction and internal rotation, the examiner grasps the elbow and axially loads the humerus in a proximal direction.The arm is moved horizontally across the body. A positive result is indicated by a sudden clunk as the humeral head slides off the back of the glenoid. When the arm is returned to the original position, a second jerk may be observed, that of the humeral head returning to the glenoid.<ref name="Kim">1</ref> •
{{#ev:youtube|hMeG50np3K0|300}}<br>  


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== Evidence<br>  ==


<br>
A systematic review of the validity and accuracy of clinical tests used to detect labral pathology of the shoulder showed the +LR of the Jerk Test to be&nbsp;LR 34.71 and the -LR to be 0.27<ref name="Munro">Munro et al. The validity and accuracy of clinical tests used to detect labral pathology of the shoulder--a systematic review.&nbsp;Man Ther. 2009 Apr;14(2):119-30</ref>  


Evidence<br>


A systematic review of the validity and accuracy of clinical tests used to detect labral pathology of the shoulder showed the +LR of the Jerk Test to be&nbsp;LR 34.71 and the -LR to be 0.27<ref name="Munro">1</ref>
== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed])  ==
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== References  ==


<br>References  
References will automatically be added here, see [[Adding References|adding references tutorial]].


1. Kim et al. Painful Jerk Test:&nbsp;A Predictor of Success in Nonoperative Treatment of Posteroinferior Instability of the Shoulder.&nbsp;Am J Sports Med 2004 32: 1849
<references />


2.&nbsp;Munro et al. The validity and accuracy of clinical tests used to detect labral pathology of the shoulder--a systematic review.&nbsp;Man Ther. 2009 Apr;14(2):119-30<br>
[[Category:Articles]] [[Category:Assessment]] [[Category:EIM_Student_Project_2]] [[Category:Musculoskeletal/Orthopaedics]] [[Category:Shoulder]] [[Category:Special_Tests]] [[Category:Videos]]

Revision as of 19:46, 16 December 2009

Original Editor - Derek Little

Lead Editors - Your name will be added here if you are a lead editor on this page.  Read more.

Purpose[edit | edit source]

test used to detect posteroinferior instability of the shoulder

Technique[edit | edit source]

While stabilizing the patient’s scapula with one hand and holding the affected arm at 90° abduction and internal rotation, the examiner grasps the elbow and axially loads the humerus in a proximal direction.The arm is moved horizontally across the body. A positive result is indicated by a sudden clunk as the humeral head slides off the back of the glenoid. When the arm is returned to the original position, a second jerk may be observed, that of the humeral head returning to the glenoid.[1]


Evidence
[edit | edit source]

A systematic review of the validity and accuracy of clinical tests used to detect labral pathology of the shoulder showed the +LR of the Jerk Test to be LR 34.71 and the -LR to be 0.27[2]


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

Failed to load RSS feed from http://eutils.ncbi.nlm.nih.gov/entrez/eutils/erss.cgi?rss_guid=1fedKcOVZacNs8keaybiRzmjQrzHsxRx1SiNrfMXWq0Dbxrkrq|charset=UTF-8|short|max=10: Error parsing XML for RSS

References[edit | edit source]

References will automatically be added here, see adding references tutorial.

  1. Kim et al. Painful Jerk Test: A Predictor of Success in Nonoperative Treatment of Posteroinferior Instability of the Shoulder. Am J Sports Med 2004 32: 1849
  2. Munro et al. The validity and accuracy of clinical tests used to detect labral pathology of the shoulder--a systematic review. Man Ther. 2009 Apr;14(2):119-30