Thanks Steve!
-----Opprinnelig melding-----
Fra: Tippett, Steven [mailto:[log in to unmask]]
Sendt: 27. september 2001 15:38
Til: [log in to unmask]
Emne: Re: Clunk and relocation tests
Hi Isaac,
I teach an ortho course for first year PT students as well as numerous
continuing education courses. I know of no other text that comes close to
ortho eval than Magee. The third edition contains alot of info on functional
scales as well as more MRI. I believe it is the best text for hands-on eval,
no treatment to speak of.
Good luck.
ST
> ----------
> From: Neumann Isaac Rutger,
> Granheim[SMTP:[log in to unmask]]
> Sent: Thursday, September 27, 2001 1:13 AM
> 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]]
> 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
> >
>
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