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Gerber’s Lift Off Test – Orthopedic Shoulder Examination

Gerber’s Lift-Off Test is an orthopedic examination technique used to assess the integrity of the subscapularis muscle and tendon. It is the most widely used clinical test for identifying subscapularis tears and was first described by Swiss orthopedic surgeon Christian Gerber in 1991. The test requires the patient to actively lift the dorsum of their

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Common Elbow Tests in Orthopedic Examination

The following is a list of the many common tests used by physical therapists / physiotherapists and other orthopedic/orthopaedic practitioners when examining the elbow. The tests will eventually have links to descriptions of the tests as well as video demonstrations.  Before learning about the examination of the elbow it is useful to review basic elbow anatomy and basic

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Thoracic Outlet Syndrome

Roos Test

The Roos Test is primarily used to identify neurogenic TOS, where patients typically report arm pain, numbness, tingling, or heaviness with overhead or sustained arm positions. Involved Structures The thoracic outlet is bordered by the first rib inferiorly, the clavicle anteriorly, and the scalene muscles laterally. The key structures susceptible to compression include: How to

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O’Brien’s Test – Orthopedic Examination of the Shoulder

Also known as Active compression test, O’Brien’s active compression test Structures tested Glenoid labrum (SLAP lesion); acromioclavicular (AC) joint Patient position Standing or seated, arm at 90° flexion, 10° adduction, full internal rotation Positive sign Pain or click in internal rotation that diminishes or disappears in external rotation Sensitivity (SLAP) ~47–67% (varies by study) Specificity

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Allen Test for TOS

The Allen Test (also called the Allen Maneuver) is a physical examination procedure used to assess for Thoracic Outlet Syndrome (TOS). It tests for neurovascular compression by placing the arm in a position of mechanical stress and monitoring for pulse obliteration or symptom reproduction. Additional tests for Thoracic Outlet Syndrome: Roos Test | Adson’s Maneuver

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