Dr. Kevin Yip

Dr Kevin Yip
Orthopaedic Surgeon
MBBS(UK), FRCS(EDIN), FAM(SING), FHKCOS(ORTHO)

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Apprehension test in internal rotation

Significance.

The test is perfornled to detect recurrent posterior dislocation of the shoulder.The test is positive when the patient gets the feeling that the shoulder moves out of place, so recognizing her symptoms.

POSitioning.

The subject sits on a chair, the arm in slight abduction and the forearm behind the back. The examiner sits level with the subject’S
shoulder. One hand is on the subject’S shoulder with the thumb anteriorly and the fingers posteriorly against the humeral head. The other hand grasps the forearm.

Procedure.

Bring the subject’s arm into slight abduction and futl internal rotation and exert a posterior pressure to the humerus with the thumb.

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