Clunk Test
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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- 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 then fully abducts the arm over the patient's head while pushing anteriorly on the humeral head and simultaneously externally rotating the arm.
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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