Posterior drawer test of the shoulder :

What is to the posterior drawer test of to the shoulder?

• Posterior Drawer Test of the shoulder is mostly used of to the assess of to the posterior shoulder joint instability .
• However It is also be used on the aching shoulders where to the apprehension test is the difficult to the interpret & it is allowed to the examiner of to the proper diagnose of to the posterior subluxations even to the patients who have to the negative of the apprehension test.

• The test is Designed to detect & grade of the laxity or insufficiency of the posterior capsular mechanism.

Purpose of the test :

• Special test is used for to the examine & check of to the posterior shoulder instability.
• The test is use for to the aching shoulders into the patient where the apprehension test is perform & interpret to the difficult .
• It is allow to the reliably diagnose for to the posterior sub-luxation even of into the patients who have to the negative apprehension test.

How do you perform of the test ?

• Patient position for to the supine .
• Then the examiner stands at the level of to the shoulder & grasp to the patient’s proximal forearm with one hand , flexing the patient ‘s elbow to 120 ‘ & the shoulder to between 80 ‘ & 120 of abduction ; 20-30 of foreword flexion .
• With the other hand , the examination stabilizes the scapula by placing the index & middle fingers on the scapula & the thumb on to the coracoid process .
• The examiner then rotates the upper arm medially & forward flexes the shoulder to between 60 ‘ & 80 ‘ while taking the thumb of the other hand off the corocoid process & pushing the head of to the humerus posteriory .
• The head of the humerus is flex by to the index finger of the same hand .
• This test is usually pain – free , but the patient is exhibit apprehension .

Result of this test :

• A positive test indicate posterior instability & demonstrates significant posterior translation .
• This test is Norwood test without the horizontal adduction .