The authors compared the accuracy and reliability of a traditional method of measurement (most cephalad vertebral spinous process that can be reached by a patient with the extended thumb) to estimates made with the shoulder in abduction to determine if there were differences between the two methods.
Internal rotation estimates made with the shoulder abducted demonstrated interobserver reliability superior to that of spinous process estimates, and reproducibility was high.
Comment: We use this method as well. Here's a nice illustration from a website:
It nicely shows how to examine the shoulder for loss of internal rotation with the arm abducted.
Interestingly, pain on this test used to be called a positive 'impingement sign'.
Such an internal rotation deficit can often be resolved by the sleeper stretch.
=====
How you can support research in shoulder surgery Click on this link.
To see our new series of youtube videos on important shoulder surgeries and how they are done, click here.
How you can support research in shoulder surgery Click on this link.
To see our new series of youtube videos on important shoulder surgeries and how they are done, click here.
Be sure to visit "Ream and Run - the state of the art" regarding this radically conservative approach to shoulder arthritis at this link and this link. Also see the essentials of the ream and run.
Use the "Search" box to the right to find other topics of interest to you.
You may be interested in some of our most visited web pages arthritis, total shoulder, ream and run, reverse total shoulder, CTA arthroplasty, and rotator cuff surgery
