Wednesday, January 24, 2007

Shoulder - Apprehension Test

The shoulder Apprehension test is also known as the Fowler test or the Jobe relocation test.  The examination is used to assess for shoulder instability.  This examination is best partnered with the shoulder relocation test.  The apprehension test (AKA crank test) is used to assess for an anterior shoulder dislocation.  The patient lies on the table supine with the shoulder abducted 90-degrees and maximum external rotation.  The examiner typically will support the humerus with one hand while applying overpressure to the external rotation of the shoulder.  A positive test will result in the patient reacting to the movement by preventing further rotation or appearing apprehensive.  It is at this point that the relocation test is typically administered.

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