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Hawkins Kennedy Test

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(Redirected from Hawkins Test)

Other Names

Clinical demonstration of the Hawkins test[1]
Illustration of Hawkin's Test[2]
Hawkins-Kennedy Test[3]
  • Kennedy Impingement Test
  • Hawkin's Test
  • Hawkins-Kennedy impingement test
  • Kennedy Test
  • Hawkins Test
  • Kennedy-Hawkins Test
  • Hawkins Sign
  • Impingement Test (Hawkins Variant)

Purpose


Description

  • Place the patient's arm shoulder in 90 degrees of shoulder flexion
  • The elbow flexed to 90 degrees and then internally rotates the arm.
  • Positive Test
    • The patient experiences pain

Pathology


Evidence

Subacromial Impingement Syndrome

  • Park et al[4], Mustafa et al[5]
    • Sensitivity: 62%-92%
    • Specificity: 25%-100%
    • Positive LR: 1.23
    • Negative LR: 0.32

SLAP Tear

  • Nakagawa et al[6]
    • Sensitivity: 500%
    • Specificity: 67%
    • Accuracy: 59%
    • PPV: 55%
    • NPV: 63%

Rotator Cuff Disease

  • Hermans et al [7]
    • Sensitivity: 76
    • Specificity: 48
    • LR+: 1.5
    • LR-: 0.51

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. Almoallim, Hani, et al. "Approach to Musculoskeletal Examination." Skills in Rheumatology (2021): 17-65.
  3. Phillips, Nick. "Tests for diagnosing subacromial impingement syndrome and rotator cuff disease." Shoulder & elbow 6.3 (2014): 215-221.
  4. Park, H.B., Yokota, A., Gill, H.S., EI RG, McFarland, E.G. (2005). Diagnostic accuracy of clinical tests for the different degrees of subacromial impingement syndrome. J Bone Joint Surg Am, 87(7), 1446-1455.
  5. Mustafa et al. Diagnostic values of clinical diagnostic tests in subacromial impingement syndrome. Ann Rheum Dis 2000;59;44-47
  6. 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.
  7. Hermans, Job, et al. "Does this patient with shoulder pain have rotator cuff disease?: The Rational Clinical Examination systematic review." Jama 310.8 (2013): 837-847.
Created by:
John Kiel on 10 July 2019 13:09:27
Authors:
Last edited:
5 December 2025 15:24:47
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