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External Rotation Resistance Test

From WikiSM

Other Names

Resisted External Rotation Test
Demonstration of resisted external rotation test[1]
Illustration of Isometric Resisted External Rotation[2]
Illustration of the infraspinatus test
  • Resisted External Rotation Test
  • Isometric Resisted External Rotation
  • External rotation resistance test
  • Infraspinatus Test
  • Infraspinatus Strength Test
  • External Rotation Test (Infraspinatus)
  • Shoulder External Rotation Strength Test

Purpose


Description

  • The patient is seated or standing
  • Arms at side, elbows flexed 90°
    • Important to keep elbow tucked against chest wall
  • Patient externally rotates shoulders against resistance
  • Positive test
    • Pain or weakness

Pathology


Evidence

Rotator Cuff Disease

  • Hermans et al [3]
    • Sensitivity: 63%
    • Specificity: 75%
    • LR+: 2.6
    • LR-: 0.49

Infraspinatus Muscle Tear

  • Magee et al[4]
    • Sensitivity: 41.6%
    • Specificity: 90.1%
    • LR+: 4.2
    • LR-: 0.65

See Also


References

  1. Image courtesy of geekymedics.com, "shoulder examination"
  2. Almoallim, Hani, et al. "Approach to Musculoskeletal Examination." Skills in Rheumatology (2021): 17-65.
  3. 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.
  4. Magee DJ. Orthopedic Physical Assessment: 5th Edition. St. Louis, MO: Saunders Elsevier;2008.
Created by:
John Kiel on 10 April 2022 16:20:58
Authors:
Last edited:
27 December 2025 20:10:15
Category: