Shoulder Fulcrum Test
Other Names
- Shoulder Fulcrum Test
- Anterior Fulcrum Test
- Fulcrum test of the shoulder
Purpose
- Evaluate the Glenohumeral Joint and Glenoid Labrum as causes of shoulder pain
Description
- The patient is supine
- Abduct shoulder 90°, flex elbow 90°
- Examiner’s fist under patient’s shoulder to act as a fulcrum
- Passive external rotation over the fist
- Fatigues the subscapularis for 1 minute
- Positive test
- Anterior capsule instability or apprehension
Pathology
Evidence
- Nakagawa et al[3]
- Sensitivity: 83%
- Specificity: 40%
- Accuracy: 59%
- PPV: 53%
- NPV: 75%
See Also
References
- ↑ Reinold, Michael M., and Thomas J. Gill. "Current concepts in the evaluation and treatment of the shoulder in overhead-throwing athletes, part 1: physical characteristics and clinical examination." Sports Health 2.1 (2010): 39-50.
- ↑ Image courtesy of musculoskeletalkey.com
- ↑ 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.