Both Steve and Henry refer to David Magee's text "Othopaedic Physical Assessment". Is this book a "must-have"? From a foggy Lillehammer, Isaac -----Opprinnelig melding----- Fra: Tippett, Steven [mailto:[log in to unmask]] Sendt: 26. september 2001 14:34 Til: [log in to unmask] Emne: Re: Clunk and relocation tests Hi Scott, These two tests are described in David Magee's text "Orthopaedic Physical Assessment" Neither one have been validated to my knowledge. The relocation test is very helpful in assessing the secondary impingement patient. It is a modification of the apprehension test for anterior instability of the GH joint. The subtle difference is that when in the 90/90 position the patient has more discomfort than the feeling that the shoulder is going to dislocate. At this point you apply a gentle posterior directed force to "relocate" the humerus which results in increased external rotation and decreased discomfort. I find this test positive in the cases of athletes who are the silent subluxors who note complaints of a "dead arm" i.e., no pain but no velocity in the acceleration phase of throwing. The clunk test is supposed to be for a "torn labrum" typically the Bankart lesion. It is in full abduction, patient supine. You place your hand under the shoulder and apply an anterior glide while the other hand externally rotates the shoulder. I find this often times to be false positive. Hope it helps. P.S. Ober test is sidelying assessment of the length of the iliotibial band. Steve Tippett Ph.D., PT, SCS, ATC Department of Physical Therapy 1501 West Bradley Avenue 214 Burgess Hall Peoria, IL 61625 Phone (309) 677-2855 Fax (309) 677-3445 > ---------- > From: Scott Epsley[SMTP:[log in to unmask]] > Sent: Wednesday, September 26, 2001 6:18 AM > To: [log in to unmask] > Subject: Clunk and relocation tests > > HI all, > Can anybody help me with specific details on the clunk and relocation > tests. I use a series of routine tests on the shoulder, but these are > referred to in the literature quite frequently. I think they are similar > to ones I use but I'm not sure. Does any one know? While I'm on this > train of thought, I've forgotten what Obers test is. > > Thanks, > > Scott. > --- > Scott Epsley > BPhty., MAPA, SPG. > PRINCIPAL PHYSIOTHERAPIST > Clifford Chambers Sports Medicine > Suite 4, 120 Russell Street > Toowoomba QLD 4350 > Australia > > e-mail: [log in to unmask] > > > On Tue, 25 Sep 2001 10:39:07 > Bruce- Australia wrote: > >Thanks for the beer offer Regis. > >Will be staying near Erie working with an Osteopath for a few months so > >will take you up on that if I get down to Pittsburh. > >Should be in the USA next week after a quick side trip to Japan. > >I will be offline for the next few days. > > > >Cheers > >Bruce > > > > > Make a difference, help support the relief efforts in the U.S. > http://clubs.lycos.com/live/events/september11.asp >