Shoulder Shrug Sign

Execution:

  1. Patient is in standing position
  2. The patient is asked to flex the elbows to 90°, to abduct the arms to 90° and to hold this position briefly

 

Positive Outcome: The patient has to elevate the whole scapula or shoulder girdle – which means they have to shrug the shoulders – to achieve the 90° of shoulder abduction

Study Reliability Sn Sp LR+ LR-
Jia et al. (2008): Frozen Shoulder Inter к= 0.83 95 50 1.9 0.1
Jia et al. (2008): Osteoarthritis in the Shoulder Inter к= 0.83 91 57 2.12 0.16
Comment: The Shoulder Shrug Sign is a good test to exclude Frozen Shoulder and Osteoarthritis in the shoulder