Dr. Kevin Yip

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

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Specific Tests-Passive horizontal adduction

Significance.

This test stresses the acromioclavicular and sternoclavicular joints and ligaments. It also squeezes the subcoracoid bursa and the upper part of the insertion of the subscapularis tendon into the lesser tuberosity of the humerus.

POSitioning.

The subject stands with the arms hanging alongSide the body. The examiner stands level with the subject’s arm. One hand grasps the
elbow at the distal part of the upper arm. The other hand is placed at the back of the other shoulder.

Procedure.

Take the arm into abduction first and then bring it horizontally in front of the body,pressing the elbow towards the contralateral
shoulder.

Common mistakes.

The subject’s shoulder girdle is not well stabilized so that she may twist away from the pressure .

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