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Compression Rotation Test

From WikiSM

Other Names

Clinical demonstration of the compression rotation test[1]
Compression Rotation Test[2]
  • Compression Rotation Test

Purpose


Description

  • The patient is in the supine position
  • The shoulder abducted to 90°, elbow flexed at 90°
  • A compression force is applied to the humerus, which is then externally rotated
  • Positive test
    • Labral tissue is felt to catch and snap during the test.

Pathology


Evidence

SLAP Tear

  • Somerville et al[3]
    • Sensitivity: 13.8
    • Specificity: 92.6
    • LR+: 1.8
    • LR-: 0.934

SLAP Tear

  • Nakagawa et al[4]
    • Sensitivity: 25%
    • Specificity: 100%
    • Accuracy: 63%
    • PPV: 100%
    • NPV: 58%

See Also


References

  1. Manske, Robert, and Todd Ellenbecker. "Current concepts in shoulder examination of the overhead athlete." International journal of sports physical therapy 8.5 (2013): 554.
  2. Tennent, T. Duncan, William R. Beach, and John F. Meyers. "A review of the special tests associated with shoulder examination: part I: the rotator cuff tests." The American journal of sports medicine 31.1 (2003): 154-160.
  3. Somerville, Lyndsay E., et al. "Clinical assessment of physical examination maneuvers for superior labral anterior to posterior lesions." The Surgery Journal 3.04 (2017): e154-e162.
  4. Nakagawa, Shigeto, et al. "Forced shoulder abduction and elbow flexion test: a new simple clinical test to detect superior labral injury in the throwing shoulder." Arthroscopy: The Journal of Arthroscopic & Related Surgery 21.11 (2005): 1290-1295.
Created by:
John Kiel on 21 August 2021 18:35:34
Authors:
Last edited:
4 September 2025 15:49:04
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