“…Special tests to evaluate the underlying mobility status of the glenohumeral joint are key aspects of the evaluation of the patient with rotator cuff pathology. These special tests include the multidirectional instability sulcus sign,8 anterior posterior humeral head translation tests or drawer tests,9 subluxation relocation test10 and Beighton hypermobility index 11. These tests can be used to identify glenohumeral joint hypermobility and the presence of subtle underlying instability of the shoulder.…”
Section: Identification Of Underlying Joint Mobility Statusmentioning
Rehabilitation of the patient with glenohumeral impingement requires a complete understanding of the structures involved and the underlying mechanism creating the impingement response. A detailed clinical examination and comprehensive treatment programme including specifi c interventions to address pain, scapular dysfunction and rotator cuff weakness are recommended. The inclusion of objective testing to quantify range of motion and both muscular strength and balance in addition to the manual orthopaedic clinical tests allows clinicians to design evidencebased rehabilitation programmes as well as measure progression and patient improvement.
“…Special tests to evaluate the underlying mobility status of the glenohumeral joint are key aspects of the evaluation of the patient with rotator cuff pathology. These special tests include the multidirectional instability sulcus sign,8 anterior posterior humeral head translation tests or drawer tests,9 subluxation relocation test10 and Beighton hypermobility index 11. These tests can be used to identify glenohumeral joint hypermobility and the presence of subtle underlying instability of the shoulder.…”
Section: Identification Of Underlying Joint Mobility Statusmentioning
Rehabilitation of the patient with glenohumeral impingement requires a complete understanding of the structures involved and the underlying mechanism creating the impingement response. A detailed clinical examination and comprehensive treatment programme including specifi c interventions to address pain, scapular dysfunction and rotator cuff weakness are recommended. The inclusion of objective testing to quantify range of motion and both muscular strength and balance in addition to the manual orthopaedic clinical tests allows clinicians to design evidencebased rehabilitation programmes as well as measure progression and patient improvement.
“…In addition, other authors have reported their results in diagnosing SLAP lesions using assessments developed for alternative shoulder lesions, such as the Jobe relocation, 6 Neer, 17 Hawkins, 8 and Speed 5 tests. 7,13,14,19,23,24 To date, no author has compared either SLAP-specific or general shoulder tests in a prospective fashion using arthroscopy on all patients as the final diagnostic tool.…”
The authors' results contradict the current literature regarding provocative testing for both stable and unstable superior labral lesions. There is no single maneuver that can accurately diagnose superior labral anterior posterior lesions; arthroscopy remains the standard by which to diagnose such lesions.
“…Specific tests for internal impingement include the internal impingement sign, modified relocation testing, or internal rotation resistance testing [48][49][50]. As partial tears can often develop in the presence of posterior capsule contracture and superior translation of the humeral head, it is often difficult to distinguish on physical examination between pure internal impingement and internal impingement with concomitant partial rotator cuff tears.…”
Purpose of Review To review the etiology, classification, presentation, evaluation, treatment strategy, and outcomes in overhead athletes with partial thickness rotator cuff tears. Recent Findings Despite advances in surgical repair techniques, return to play following surgical repair of partial rotator cuff tears remains modest at best. Summary Overhead athletes may be particularly prone to rotator cuff pathology due to the supraphysiological strains within the tendon during the throwing motion, as well as mechanical stress with contact between the undersurface of the rotator cuff and the glenoid. The true prevalence of partial tears may be underestimated given the high incidence of asymptomatic tears. Both dynamic ultrasound and enhanced contrast MRI have improved our understanding of this pathology. For most overhead athletes, nonoperative management is the most common course. Despite advances in imaging, diagnosis, and surgical techniques, our ability to return these patients to their elite level is modest at best when nonoperative management fails and surgical treatment is performed. If a surgical route is needed, debridement alone is the most frequent procedure given concerns of over constraint and poor return to play with surgical repair of the partial thickness rotator cuff tear.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.