Hornblowers Sign
Other Names
- Hornblower's Sign
- Patte Test
- Hornblower's Test
- Hornblower test
- Hornblower maneuver
- Teres minor test
- Teres minor sign
- External rotation lag sign
Purpose
- Evaluate the Teres Minor, Infraspinatus as a cause of shoulder pain or weakness
Description
- The patient is seated or standing
- Examiner passively flexes elbow to 90°, abducts arm to 90°
- The patient is asked to hold the arm in this position
- Positive test
- Arm falls into internal rotation and patient unable to maintain position
Modification
- Alternatively, the examiner can ask the patient to externally rotate against resistance when in position
Pathology
Evidence
- Walch et al[4]
- Sensitivity: 100%
- Specificity: 93%
- LR+: 14.29
- LR-: 0
Rotator Cuff Disease
- Hermans et al [5]
- Sensitivity: 58%
- Specificity: 60%
- LR+: 1.4
- LR-: 0.70
See Also
References
- ↑ Charalambous, Charalambos Panayiotou. "Clinical examination of the shoulder." The Shoulder Made Easy. Springer, Cham, 2019. 77-122.
- ↑ Phillips, Nick. "Tests for diagnosing subacromial impingement syndrome and rotator cuff disease." Shoulder & elbow 6.3 (2014): 215-221.
- ↑ Itoi, Eiji. "Rotator cuff tear: physical examination and conservative treatment." Journal of orthopaedic science 18.2 (2013): 197-204.
- ↑ Walch G, Boulahia A, Calderone S, Robinson AHN. The 'dropping' and 'hornblower's' signs in evaluation of rotator cuff tears. 1998; 80: 624-28.
- ↑ 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 17 January 2020 19:56:25
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Last edited:
17 December 2025 02:15:28
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