glenohumeral joint, labral tear, o brien, ortho, shoulder pain, SLAP lesion, spec, superior labral tear

Purpose

A test to identify a labral tear or SLAP lesion.

Technique

Patient is positioned in sitting.

Patient elevates arm to 90° with IR rotation and about 10 of horizontal adduction.

Clinician asks patient to hold this position and applies resistance to the distal forearm.

If this position produces pain, the patient’s arm is positioned in 90° of shoulder flexion, ER, and about 10° of horizontal adduction.

Clinician asks patient to hold this position and applies resistance to the distal forearm.

Positive

Pain with IR and relief of symptoms with ER.

Interpretation

A positive test indicates a labral tear or SLAP lesion.

References

1. Dutton, M. (2008). Orthopaedic: Examination, evaluation, and intervention (2nd ed.). New York, NY: The McGraw-Hill Companies, Inc.

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