Both Steve and Henry refer to David Magee's text "Othopaedic Physical
Assessment". Is this book a "must-have"?
From a foggy Lillehammer,
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
These two tests are described in David Magee's text "Orthopaedic Physical
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.
> Scott Epsley
> BPhty., MAPA, SPG.
> PRINCIPAL PHYSIOTHERAPIST
> Clifford Chambers Sports Medicine
> Suite 4, 120 Russell Street
> Toowoomba QLD 4350
> 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.
> Make a difference, help support the relief efforts in the U.S.