Clunk Test: Difference between revisions
Shoko Otsuka (talk | contribs) m (Edited a video) |
Shoko Otsuka (talk | contribs) No edit summary |
||
(15 intermediate revisions by the same user not shown) | |||
Line 1: | Line 1: | ||
<div class="editorbox"> '''Original Editor '''- [[User:User Name|Shoko Otsuka]]<br> | |||
<div class="editorbox"> '''Original Editor '''- [[User:User Name| | |||
'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}}</div> | '''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}}</div> | ||
== Purpose<br> == | == Purpose<br> == | ||
The Clunk Test is | The Clunk Test is used to identify a superior anterior and posterior glenoid labral tear of the shoulder joint.<br> | ||
== Technique | == Technique == | ||
# The patient lies in supine position with affected shoulder slightly over the edge of the bed. | # The patient lies in supine position with affected shoulder slightly over the edge of the bed. | ||
# The examiner places one hand on the posterior aspect of the GH joint while the other hand holds the bicondylar aspect of the humerus above the elbow. | # The examiner places one hand on the posterior aspect of the GH joint while the other hand holds the bicondylar aspect of the humerus above the elbow.<ref>Wallmann HW. [https://journals.sagepub.com/doi/abs/10.1177/1084822309360379?journalCode=hhcb Overview of shoulder orthopedic special tests]. Home Health Care Management & Practive. 2010;22(5):364-366.</ref> | ||
# the examiner then fully abducts the arm over the patient's head while pushing anteriorly on the humeral head and simultaneously externally rotating the arm. | # the examiner then fully abducts the arm over the patient's head while pushing anteriorly on the humeral head and simultaneously externally rotating the arm.<ref name=":0">Wilk KE, Reinold MM, Dugas JR, Arrigo CA, Moser MW, Andrews JR. [https://www.jospt.org/doi/10.2519/jospt.2005.35.5.273 Current concepts in the recognition and treatment of superior labral (SLAP) lesions.] J Orthop Sports Phys Ther. 2005;35(5):273-291.</ref> | ||
<clinicallyrelevant id="83906949" title="Clunk Test" /> | |||
= | '''Outcome''': A positive test is produced by the presence of a catch, snap, clunk, or grinding sound. It indicates a labral tear.<ref name=":0" /> | ||
== Evidence == | |||
The sensitivity and specificity of the Clunk Test has been reported by only one study<ref name=":1">Nakagawa S, Yoneda M, Hayashida K, Obata M, Fukushima S, Miyazaki Y. [https://pubmed.ncbi.nlm.nih.gov/16325078/ Forced shoulder abduction and elbow flexion test: a new simple clinical test to detect superior labral injury in the throwing shoulder.] Arthroscopy. 2005;21(11):1290-1295.</ref>. The study has shown Clunk Test to have a sensitivity of 0.440% and a specificity of 0.68%<ref name=":1" />. | |||
{| width="300" cellspacing="1" cellpadding="1" border="1" | |||
|- | |||
| | |||
* Sensitivity (95% CI): 0.440 | |||
* Specificity (95% CI): 0.680 | |||
* +LR (95% CI): 1.4 | |||
* -LR (95% CI): 0.8 | |||
* Accuracy (%): 57.0 | |||
|} | |||
<ref>Munro W, Healy R. [https://pubmed.ncbi.nlm.nih.gov/18996735/ The validity and accuracy of clinical tests used to detect labral pathology of the shoulder-a systematic review.] Man Ther. 2009;14(2):119-130.</ref><ref>Dessaur WA, Magarey ME. [https://www.jospt.org/doi/10.2519/jospt.2008.38.6.341 Diagnostic accuracy of clinical tests for superior labral anterior posterior lesions: a systematic review.] J Orthop Sports Phys Ther. 2008;38(6):341-352.</ref><ref>Hegedus EJ, Goode A, Campbell S, et al. [https://bjsm.bmj.com/content/42/2/80 Physical examination tests of the shoulder: a systematic review with meta-analysis of individual tests.] Br J Sports Med. 2008;42(2):80-92.</ref> | |||
== References == | == References == | ||
<references /> | <references /> | ||
[[Category:Shoulder - Assessment and Examination]] | |||
[[Category:Special Tests]] | |||
[[Category:Shoulder]] | |||
[[Category:Assessment]] | |||
[[Category:Musculoskeletal/Orthopaedics]] |
Latest revision as of 21:18, 9 February 2022
Purpose
[edit | edit source]
The Clunk Test is used to identify a superior anterior and posterior glenoid labral tear of the shoulder joint.
Technique[edit | edit source]
- The patient lies in supine position with affected shoulder slightly over the edge of the bed.
- The examiner places one hand on the posterior aspect of the GH joint while the other hand holds the bicondylar aspect of the humerus above the elbow.[1]
- the examiner then fully abducts the arm over the patient's head while pushing anteriorly on the humeral head and simultaneously externally rotating the arm.[2]
Outcome: A positive test is produced by the presence of a catch, snap, clunk, or grinding sound. It indicates a labral tear.[2]
Evidence[edit | edit source]
The sensitivity and specificity of the Clunk Test has been reported by only one study[3]. The study has shown Clunk Test to have a sensitivity of 0.440% and a specificity of 0.68%[3].
|
References[edit | edit source]
- ↑ Wallmann HW. Overview of shoulder orthopedic special tests. Home Health Care Management & Practive. 2010;22(5):364-366.
- ↑ 2.0 2.1 Wilk KE, Reinold MM, Dugas JR, Arrigo CA, Moser MW, Andrews JR. Current concepts in the recognition and treatment of superior labral (SLAP) lesions. J Orthop Sports Phys Ther. 2005;35(5):273-291.
- ↑ 3.0 3.1 Nakagawa S, Yoneda M, Hayashida K, Obata M, Fukushima S, Miyazaki Y. Forced shoulder abduction and elbow flexion test: a new simple clinical test to detect superior labral injury in the throwing shoulder. Arthroscopy. 2005;21(11):1290-1295.
- ↑ Munro W, Healy R. The validity and accuracy of clinical tests used to detect labral pathology of the shoulder-a systematic review. Man Ther. 2009;14(2):119-130.
- ↑ Dessaur WA, Magarey ME. Diagnostic accuracy of clinical tests for superior labral anterior posterior lesions: a systematic review. J Orthop Sports Phys Ther. 2008;38(6):341-352.
- ↑ Hegedus EJ, Goode A, Campbell S, et al. Physical examination tests of the shoulder: a systematic review with meta-analysis of individual tests. Br J Sports Med. 2008;42(2):80-92.