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Passive Shoulder Compression Test
From WikiSM
Other Names
- Passive Compression Test
Purpose
Rotates the patient’s arm externally with 30° of abduction (A) and then apply an axial load while extending the shoulder (B)[1]
- Evaluate causes of shoulder pain including integrity of Glenoid Labrum
Description
- The patient is in the lateral decubitus position, laying on the unaffected side
- The examiner places the arm in 30 degrees of abduction and then passively externally rotates the arm
- At the same time, they apply an axial load into the joint and slowly extend the shoulder
- Positive test is:
- Pain
- Additionally, injecting local anesthetic into the joint and repeating the exam can increase diagnostic accuracy
Pathology
- Glenoid Labral Tears
- Specifically, Superior Labrum Anterior Posterior Tear
- Glenohumeral Arthritis
Evidence
- Kim et al[2]
- Sensitivity: 82%
- Specificity: 86%
- LR+: 5.727
- LR-: 0.212
See Also
References
- ↑ Kim, Yang-Soo, et al. "The passive compression test: a new clinical test for superior labral tears of the shoulder." The American journal of sports medicine 35.9 (2007): 1489-1494.
- ↑ Kim WS, Kim JH, Ha KY, Joo MW, Chung YG.The Passive Compression Test: a new clinical test for superior labral tears of the shoulder. Am J Sports Med. 2007:35(9):1489-1494.
Created by:
John Kiel on 7 August 2019 20:36:20
Authors:
Last edited:
25 April 2023 13:34:48
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