Original ArticlesA modification of the relocation test: Arthroscopic findings associated with a positive test*,**
Section snippets
Materials and methods
Fourteen overhand-throwing athletes presenting with shoulder pain and scheduled for shoulder arthroscopy were examined. The average age of the patients was 24 years (range, 21-31 years). All patients failed at least 3 months of physical therapy3 while restricted from throwing and continued to complain of shoulder pain that restricted their ability to throw. Physical therapy included a supervised rotator cuff strengthening program. An additional criterion for inclusion was a positive modified
Results
All patients demonstrated anatomic pathology (Table I).Patient no. 90° 110° 120° Site of pain Arthroscopy post cuff contact Arthroscopic findings 1 + + + Sup/ant 110°/120° Type II SLAP 2 − − + Post/sup 90°/110°/120° Post/sup labral fraying; undersurface cuff fraying 3 + + + Post/sup 90°/110°/120° Ant labral fraying; undersurface cuff fraying 4 − − + Post/sup 110°/120° Post/sup labral fraying 5 − + − Post/sup 110° Post/sup labral fraying; undersurface cuff fraying 6 +
Discussion
The shoulder relocation test has been advocated as a diagnostic tool in the treatment of shoulder pain in young overhand-throwing athletes.9, 10 In the normal shoulder, the humerus is abducted into the scapular plane during the cocking phase of throwing.6 If there has been stretching of the anterior soft tissue constraints, the humerus may be abducted horizontally into the coronal plane. This has been termed hyperangulation,4 inasmuch as the humeral shaft forms an acute angle to the scapula
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Arthroscopic findings of the glenohumeral joint in symptomatic anterior instabilities: comparison between overhead throwing disorders and traumatic shoulder dislocation
2023, Journal of Shoulder and Elbow SurgeryType V superior labral anterior-posterior (SLAP) lesion in recurrent anterior glenohumeral instability
2020, Journal of Shoulder and Elbow SurgeryCitation Excerpt :The Jobe relocation test is performed with the patient in the supine position and the examined arm in 120° of abduction and maximum external rotation. In this provocative position, alleviation of pain, apprehension, or mechanical symptoms (usually located posterosuperiorly) with a posteriorly directed force to the proximal humerus is considered a positive test result.11,39 Abduction–external rotation is performed by placing the patient's shoulder in 90°-90° abduction–external rotation with the patient in an erect position.
Upper extremity weightlifting injuries: Diagnosis and management
2018, Journal of OrthopaedicsClinical Evaluation of Shoulder Problemss
2016, Rockwood and Matsen’s The ShoulderEtiology and Evaluation of Rotator Cuff Pathologic Conditions and Rehabilitation
2012, Physical Therapy of the ShoulderSuperior Labrum Anterior-to-Posterior (Slap) Lesions
2011, Neck and Arm Pain Syndromes: Evidence-informed Screening, Diagnosis and Management
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J Shoulder Elbow Surg 2000;9:263-7
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Reprint requests: Marilyn M. Pink, PhD, PT, Centinela Hospital Medical Center, Biomechanics Laboratory, 555 E Hardy Street, Inglewood, CA 90301.