Clinical tests for subscapularis integrity: A "hole" in one?

Leslie Fink Barnes; Bradford O. Parsons; Evan Flatow

doi:10.1053/j.sart.2015.02.012

Clinical tests for subscapularis integrity: A "hole" in one?

Leslie Fink Barnes, Bradford O. Parsons, Evan Flatow

Research output: Contribution to journal › Article › peer-review

Abstract

Thorough physical examination is especially important in the diagnosis of subscapularis tears; given that many tears are missed on MRI evaluation. The belly-press test may be the best test in cases where internal rotation is limited, while the belly-off sign is very sensitive for partial subscapularis tears as long as the external rotators are intact. The internal rotation lag sign, followed by the lift-off test, is the most sensitive test for predicting complete deficiency of the subscapularis when range of motion is not limited.

Original language	English
Pages (from-to)	240-245
Number of pages	6
Journal	Seminars in Arthroplasty JSES
Volume	25
Issue number	4
DOIs	https://doi.org/10.1053/j.sart.2015.02.012
State	Published - 1 Dec 2014

Keywords

Physical exam
Rotator cuff
Shoulder
Subscapularis

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10.1053/j.sart.2015.02.012

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title = "Clinical tests for subscapularis integrity: A {"}hole{"} in one?",

abstract = "Thorough physical examination is especially important in the diagnosis of subscapularis tears; given that many tears are missed on MRI evaluation. The belly-press test may be the best test in cases where internal rotation is limited, while the belly-off sign is very sensitive for partial subscapularis tears as long as the external rotators are intact. The internal rotation lag sign, followed by the lift-off test, is the most sensitive test for predicting complete deficiency of the subscapularis when range of motion is not limited.",

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N2 - Thorough physical examination is especially important in the diagnosis of subscapularis tears; given that many tears are missed on MRI evaluation. The belly-press test may be the best test in cases where internal rotation is limited, while the belly-off sign is very sensitive for partial subscapularis tears as long as the external rotators are intact. The internal rotation lag sign, followed by the lift-off test, is the most sensitive test for predicting complete deficiency of the subscapularis when range of motion is not limited.

AB - Thorough physical examination is especially important in the diagnosis of subscapularis tears; given that many tears are missed on MRI evaluation. The belly-press test may be the best test in cases where internal rotation is limited, while the belly-off sign is very sensitive for partial subscapularis tears as long as the external rotators are intact. The internal rotation lag sign, followed by the lift-off test, is the most sensitive test for predicting complete deficiency of the subscapularis when range of motion is not limited.

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Clinical tests for subscapularis integrity: A "hole" in one?

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Keywords

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