A systematic review of the validity and accuracy of clinical tests used to detect labral pathology of the shoulder showed the +LR of the Jerk Test to be LR 34.71 and the … Examination type: Ligamentous Stability: Patient & Body Segment Positioning: Patient should lie supine, and be completely relaxed on the exam table

With the patient seated the examiner grasps the elbow with one hand and the scapular with the other and elevates the patient’s arm to 90° of adduction and internal rotation. ... A positive test may result in a gentle slide (Grade 1), or in a more severe jerk (Grade 2), or clunk (Grade 3). Tests for posterior instability/ torn posterior or posteroinferior labrum. Pivot Shift Test – Lateral Pivot Shift Maneuver Test of Machintosh – Pivot-Jerk Test . The pivot shift test is the most specific clinical test as it is able to accurately indicate an anterior cruciate ligament (ACL) rupture.

Jerk Test.

Evidence. When the arm is returned to the original position, a second jerk may be observed, that of the humeral head returning to the glenoid.

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