OnExam
Relocation Test
The relocation test is used to assess for anterior shoulder instability.
Performing the Test
Start by positioning the patient supine, with affected shoulder over the edge of table
The patient's arm is then passively abducted to 90°, externally rotated to 90°, and elbow flexed to 90° (thrower’s position)
The examiner then applies force to the anterior humeral head
The test is positive if the patient feels apprehension or their pain is relieved
Sensitivity: 85%; specificity: 87%
LR+ = 6.5; LR- = 0.2
References
Essential Evidence Plus. http://www.essentialevidenceplus.com. 2011. Accessed February 2011.
Magee D. Orthopedic Physical Assessment. 1st ed. Philadelphia:Saunders; 1986.
Hurley K. OSCE and Clinical Skills Handbook. Halifax: Elsevier Canada; 2005.