Feagin Test: Difference between revisions

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<div class="editorbox"> '''Original Editor '''- [[User:Neha Duhan|Neha Duhan]]<br>
<div class="editorbox"> '''Original Editor '''- [[User:Neha Duhan|Neha Duhan]]<br>
  '''Top Contributors''' - {{Special:Contributors/{{FAEGIN TEST}}}}</div>
  '''Top Contributors''' -{{Special:Contributors/{{FULLPAGENAME}}}}</div>
== Purpose  ==
== Purpose  ==


To check the inferior shoulder stability.  It assesses humeral head inferior subluxation.
Also known as '''Inferior Drawer test'''.<ref name=":2">Athletic Injury Examination Special/Stress Tests for the Shoulder. Available from http://at.uwa.edu/special%20tests/specialtests/UpperBody/shoulder%20Main%20Page.htm</ref>


The Feagin test is also the follow-up test after the sulcus sign at 0 degrees and when positive is more indicative of selective laxity of the inferior glenohumeral ligament complex.<ref name=":0">Manske RC, Stovak M. Preoperative and postsurgical musculoskeletal examination of the shoulder. Postsurgical Orthopedic Sports Rehabilitation: Knee & Shoulder. 2006:55.</ref><br>
Purpose: To check the [[Shoulder Instability|inferior shoulder stability]].It assesses [[Humerus|humeral head]] inferior [[Shoulder Subluxation|subluxation.]]<ref name=":2" />
 
The Feagin test is also the follow-up test after the sulcus sign test with the arm abducted to 90 degree instead of being at the side<ref name=":1">David J. Magee. Orthopaedic Physical Assessment. 4th edition. Elsevier.</ref> and when positive is more indicative of selective laxity of the [[Glenohumeral Joint|inferior glenohumeral ligament]] complex.<ref name=":0">Manske RC, Stovak M. Preoperative and postsurgical musculoskeletal examination of the shoulder. Postsurgical Orthopedic Sports Rehabilitation: Knee & Shoulder. 2006:55.</ref> If both the sulcus sign and Feagin test are positive, it is a greater indication of multidirectional instability rather than just laxity.<ref name=":1" /><br>


== Technique  ==
== Technique  ==
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'''Examiner position''': The clinician holds the patient's upper extremity at 90 degrees of abduction, with the patient's forearm over the clinician's shoulder and elbow extended. <ref name=":0" />  
'''Examiner position''': The clinician holds the patient's upper extremity at 90 degrees of abduction, with the patient's forearm over the clinician's shoulder and elbow extended. <ref name=":0" />  


'''Technique''': The clinician uses one hand to apply an inferiorly and slightly anteriorly directed force while the other hand palpates the edge of the acromion and the humeral head to feel for displacement anteriorly and inferiorly.   
'''Technique''': The clinician uses one hand to apply an inferiorly and slightly anteriorly directed force while the other hand palpates the edge of the [[Scapula|acromion]] and the humeral head to feel for displacement anteriorly and inferiorly.   


'''Results''': A sense of apprehension, pain, or an increased amount of translation in the inferior direction as compared with the uninvolved side is considered a positive sign.<ref name=":0" /><br>  
'''Results''': A sense of apprehension, pain, or an increased amount of translation in the inferior direction (anteroinferior instability)<ref name=":1" /> as compared with the uninvolved side is considered a positive sign.<ref name=":0" /> <ref>Kara Wickeraad. Faegin Test.Available from<nowiki/>https://www.youtube.com/watch?v=ocCkkuI_6nQ </ref><br>  
{{#ev:youtube|ocCkkuI_6nQ}}
{{#ev:youtube|ocCkkuI_6nQ}}
== Evidence  ==
Provide the evidence for this technique here
== Resources  ==
add any relevant resources here


== References  ==
== References  ==


<references />
<references />
[[Category:Special Tests]]
[[Category:Shoulder]]
[[Category:Shoulder - Assessment and Examination]]

Latest revision as of 10:53, 9 January 2023

Original Editor - Neha Duhan
Top Contributors -Neha Duhan and Kim Jackson

Purpose[edit | edit source]

Also known as Inferior Drawer test.[1]

Purpose: To check the inferior shoulder stability.It assesses humeral head inferior subluxation.[1]

The Feagin test is also the follow-up test after the sulcus sign test with the arm abducted to 90 degree instead of being at the side[2] and when positive is more indicative of selective laxity of the inferior glenohumeral ligament complex.[3] If both the sulcus sign and Feagin test are positive, it is a greater indication of multidirectional instability rather than just laxity.[2]

Technique[edit | edit source]

Patient position: The patient is tested best when relaxed in the sitting position beside the clinician. Patient will be in either sitting or standing position.

Examiner position: The clinician holds the patient's upper extremity at 90 degrees of abduction, with the patient's forearm over the clinician's shoulder and elbow extended. [3]

Technique: The clinician uses one hand to apply an inferiorly and slightly anteriorly directed force while the other hand palpates the edge of the acromion and the humeral head to feel for displacement anteriorly and inferiorly.

Results: A sense of apprehension, pain, or an increased amount of translation in the inferior direction (anteroinferior instability)[2] as compared with the uninvolved side is considered a positive sign.[3] [4]

References[edit | edit source]

  1. 1.0 1.1 Athletic Injury Examination Special/Stress Tests for the Shoulder. Available from http://at.uwa.edu/special%20tests/specialtests/UpperBody/shoulder%20Main%20Page.htm
  2. 2.0 2.1 2.2 David J. Magee. Orthopaedic Physical Assessment. 4th edition. Elsevier.
  3. 3.0 3.1 3.2 Manske RC, Stovak M. Preoperative and postsurgical musculoskeletal examination of the shoulder. Postsurgical Orthopedic Sports Rehabilitation: Knee & Shoulder. 2006:55.
  4. Kara Wickeraad. Faegin Test.Available fromhttps://www.youtube.com/watch?v=ocCkkuI_6nQ