Clunk Test for Shoulder Labral Tear

Author: AskDoctorJo

Oh hey everybody is Doctor Jo and Brian. He is my model for the day today I'm going to show you the clunk test which tests for labral tears. So let's clunk away. So the clunk tests, I'm gonna let Brian go ahead and lie down, you want to get the person lying down, is for the labrum in your shoulder. And just to remind you that there's a labrum in your shoulder and your hip and this one's for the shoulder. And the reason it's called a clunk test, I always think it's funny because it sounds kind of clunky, but that's because it is because you're trying to reproduce a clunk or a grinding kind of feeling in the shoulder, and that just means that the labrum has been torn and it's no longer stable in that shoulder.

And you can sometimes get it to clunk in and out, but also remember that these special tests have false positives and have false negatives, so just because you have a positive, doesn't necessarily mean you have a labral tear and just because you have a negative doesn't mean that you don't. I've had a labral tear. I've had it repaired already, but I didn't have a positive clunk test and sometimes that is because if your patient or the person that you're testing is really painful, I've had patients before, yeah exactly, he's being silly, but they can't even get to here before they start getting painful. So it's really hard to do a special test when they're already having pain and limited range of motion because this really needs to be them being completely relaxed from the test. So if they are able to, the way you do the test is you put your hand underneath their shoulder joint at that glenohumeral joint the GH joint, just to make sure that you can feel and push that area for that clunk. Bring them into abduction coming up this way, and then kind of grab them at the elbow because you're gonna laterally rotate or externally rotate while you're pushing up anteriorly.

So I'm just trying to get that clunk or grinding sound, and again it might be really painful for them as well. And I said "sound," you might hear it, but they might feel - they might say it feels really grindy. So what I'm doing is I'm externally rotating as I'm pushing up, and if you they do that, or you might even feel a little clunk in there, then that's a positive sign for that test. But again remember pain is usually a positive but that doesn't necessarily mean that there's a labral tear. It could be a rotator cuff issue. It could be an impingement issue. It could be a whole lot of things. So this is really just to help narrow down what's going on.

So that was your clunk test to test for shoulder labral tears. If you'd like to find some stretches and exercises to help with that if you happen to have a positive, make sure you click on the link up here, but remember just cuz that's a positive doesn't necessarily mean there's a labral tear, it just means you should definitely look further into it. If you'd like to help support my channel make sure you click up here, and don't forget to subscribe by clicking down here. And remember be safe (no clunking), have fun, and I hope you feel better soon.

Clunk Test for Shoulder Labral Tear

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