Jerk Test | Posteroinferior Labrum Tear

Execution:

  1. Patient in sitting position and the examiner positions himself behind
  2. The examiner stabilizes the scapula with one hand and holds the patient’s affected arm at 90° abduction and internal rotation
  3. Then the examiner applies a longitudinal force through the humerus at the elbow and moves the arm into horizontal adduction.

 

Positive Outcome: Patient experiences sudden onset of posterior shoulder pain and a click in the shoulder. A painful response is also a predictor of failure for conservative treatment

Study Reliability Sn Sp LR+ LR-
Kim et al. (2004) NA 90 85 6 0.12
Morey et al. (2018) NA 62.5 96.4 17.36 0.39
Comment: The Jerk Test has moderate validity to confirm and good validity to rule out posteroinferior labral lesions. A painful Jerk Test is a predictor of failure of conservative treatment.