Inferior Sulcus Test: Difference between revisions
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== Purpose == | == 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 == | == Technique == | ||
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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.
