User:Redtiger13/Clunk Test of the Shoulder

Clunk Test of the Shoulder

Purpose
This test is most appropriately used to assess a superior labral tear or a glenoid labrum tear.

Patient Position
Laying on their back with the injured shoulder slightly hanging off the table.

Position of Examiner
On the side of patient. The examiner places one hand on the back side of the humeral head and the other hand close to the patient's elbow joint.

Evaluative Procedure
Examiner passively abducts and externally rotates the arm overhead. Then the examiner circumducts hte humeral head around the glenoid labrum.

Mechanism
The glenoid labrum makes the socket of the "ball and socket joint" of the shoulder deeper as to give it more protection in movement.

Results
Positive Test: Grinding or clunking that can be felt and heard. Implications: Glenoid Labrum Tear.

Adverse Effects
It is possible to get a false positive on this test if the patient has an inferior labral tear or instability in the glenohumeral joint.

History
No significant history was found on the Clunk test of the Shoulder.