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Thank you for the tip. :) Isaac -----Opprinnelig melding----- Fra: RIDDELL, David [mailto:[log in to unmask]] Sendt: 27. september 2001 10:59 Til: [log in to unmask] Emne: Re: Clunk and relocation tests Isaac Take a look at Brukner and Kahn (which I have with me today). It is excellent and although a Sports med book it is written with a strong general outpatient/physio input including rehab e.g.it doesn't stop at 'diagnosis' CLINICAL SPORTS MEDICINE Peter Brukner and Karim Kahn. 2nd ed 2001 McGraw Hill Sydney. ISBN 0 074 70651 9 Dave Riddell PS I am not from OZ and even I think it is good!! -----Original Message----- From: Neumann Isaac Rutger, Granheim [ mailto:[log in to unmask] <mailto:[log in to unmask]> ] Sent: 27 September 2001 07:14 To: [log in to unmask] Subject: SV: Clunk and relocation tests 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] <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 <http://clubs.lycos.com/live/events/september11.asp> > ...................................................................... BUPA the personal health service ..................................................................... BUPA House, 15-19 Bloomsbury Way, London, WC1A 2BA Visit: http://www.bupa.com ---------------------------------------------------------------------- Internet communications are not secure and therefore BUPA does not accept legal responsibility for the contents of this message. Any views or opinions presented are solely those of the author and do not necessarily represent those of BUPA. -----------------------------------------------------------------------