Lateral/External Rotation Lag Sign | Infraspinatus + Teres minor

Execution:

  1. The patient’s affected shoulder is brought into 90° of flexion, 90° of horizontal abduction and full external rotation
  2. Position is stabilized by the examiner
  3. The patient is asked to hold this position actively while the examiner lets go of the support

 

Positive Outcome: Patient is unable to hold this position, which indicates infraspinatus and/or teres minor weakness

Study Reliability Sn Sp LR+

LR-

Jain et al. (2017)

NA

8 100

0.91

Comment: This test seems to be perfect to diagnose Infraspinatus and/or teres minor tears, while a negative test has no value in excluding them