Feagin Test: Difference between revisions
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Purpose: To check the [[Shoulder Instability|inferior shoulder stability]]. It assesses [[Humerus|humeral head]] inferior [[Shoulder subluxation|subluxation.]] | Purpose: To check the [[Shoulder Instability|inferior shoulder stability]]. It assesses [[Humerus|humeral head]] inferior [[Shoulder subluxation|subluxation.]] | ||
The Feagin test is also the follow-up test after the sulcus sign at | 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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'''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. | '''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" /> <ref>Kara Wickeraad. Faegin Test.Available from<nowiki/>https://www.youtube.com/watch?v=ocCkkuI_6nQ </ref><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}} | ||
== References == | == References == | ||
<references /> | <references /> | ||
Revision as of 16:15, 7 March 2021
Purpose[edit | edit source]
Also known as Inferior Drawer test.[1]
Purpose: To check the inferior shoulder stability. It assesses humeral head inferior subluxation.
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]
- ↑ Athletic Injury Examination Special/Stress Tests for the Shoulder. Available from http://at.uwa.edu/special%20tests/specialtests/UpperBody/shoulder%20Main%20Page.htm
- ↑ 2.0 2.1 2.2 David J. Magee. Orthopaedic Physical Assessment. 4th edition. Elsevier.
- ↑ 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.
- ↑ Kara Wickeraad. Faegin Test.Available fromhttps://www.youtube.com/watch?v=ocCkkuI_6nQ
