Clunk Test: Difference between revisions

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# 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.       


<nowiki><clinicallyrelevant id="members-resources/members-videos/examination-techniques/?test=428" title="Clunk Test" /></nowiki>  
<iframe src="//player.vimeo.com/video/83906949" width="500" height="281" webkitallowfullscreen="" mozallowfullscreen="" allowfullscreen=""></iframe>  


'''Outcome''': A positive test is produced by the presence of a catch, snap, clunk, or grinding sound. It indicates a labral tear.     
'''Outcome''': A positive test is produced by the presence of a catch, snap, clunk, or grinding sound. It indicates a labral tear.     

Revision as of 12:32, 7 February 2022

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Purpose
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The Clunk Test is performed to detect a superior anterior and posterior glenoid labral tear of the shoulder joint.

Technique
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  1. The patient lies in supine position with affected shoulder slightly over the edge of the bed.
  2. 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.
  3. 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.

<iframe src="//player.vimeo.com/video/83906949" width="500" height="281" webkitallowfullscreen="" mozallowfullscreen="" allowfullscreen=""></iframe>

Outcome: A positive test is produced by the presence of a catch, snap, clunk, or grinding sound. It indicates a labral tear.

Evidence[edit | edit source]

Sensitivity (95% CI): 0.440

Specificity (95% CI): 0.680

+LR (95% CI): 1.4

-LR (95% CI): 0.8

Accuracy (%): 57.0

Resources[edit | edit source]

add any relevant resources here

References[edit | edit source]