Execution:
- The patient is in sitting position with the shoulder abducted to 90° in the scapular plane
- The patient flexes the elbow to 90° and is asked to move into external rotation against the resistance of the examiner
Positive Outcome: Inability of the patient to externally rotate against the resistance in this position
Study |
Reliability | Sn | Sp | LR+ |
LR- |
Walch et al. (1998) |
NA |
100 | 93 | NA |
NA |
Jain et al. (2017) |
NA |
17 | 96 | 4.81 |
0.86 |
Sgroi et al. (2019) |
NA |
93 | 21 | 1.17 |
0.35 |
Johansson et al. (2009) |
Intra-rater κ=1 |
NA | NA | NA |
NA |
Salaffi et al. (2010) shoulder in 0° abduction |
NA |
62.2 | 74.2 | 2.43 |
0.5 |
Collins et al. (2015) massive teres minor tears |
NA |
93 | 72 | 3.32 |
0.1 |
Comment: Walch et al (1988) evaluated this test regarding the detection of irreparable fatty degeneration in the teres minor. Jain et al. (2017) show that this test can be moderately useful to confirm infraspinatus (tendon) tears |