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The 'hand squeeze' test for posterior 'muscle patterning instability' of the shoulder

(2013) ACTA ORTHOPAEDICA BELGICA. 79(1). p.31-35
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Organization
Abstract
Muscular patterning can be a contributor of positional posterior shoulder instability. Failure to recognize this pattern may lead to unnecessary surgical treatment with high failure rate. We analyzed the results of a new simple clinical test (hand squeeze test). The test is regarded positive, if during squeezing with the contralateral hand and elevation of the involved arm, in pronation, no posterior shoulder dislocation occurs. The test is regarded negative if posterior dislocation does occur regardless of the "hand squeeze". The patients with positive test were treated conservatively. Ten patients (12 shoulders) were treated between July 2006 and July 2010. The 'hand squeeze' test was positive in 8 patients (10 shoulders) and negative in 2 patients (2 shoulders). Both patients with a negative sign had structural lesions in the glenohumeral joint confirmed on arthro-MRI and were treated operatively.
Keywords
clinical test, shoulder instability, muscle patterning, conservative treatment, DISLOCATION, PALSY, INJECTION

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Citation

Please use this url to cite or link to this publication:

Chicago
Van Tongel, Alexander, Ehud Atoun, Ali Narvani, Giusseppe Sforza, and Ofer Levy. 2013. “The ‘Hand Squeeze’ Test for Posterior ‘Muscle Patterning Instability’ of the Shoulder.” Acta Orthopaedica Belgica 79 (1): 31–35.
APA
Van Tongel, A., Atoun, E., Narvani, A., Sforza, G., & Levy, O. (2013). The “hand squeeze” test for posterior “muscle patterning instability” of the shoulder. ACTA ORTHOPAEDICA BELGICA, 79(1), 31–35.
Vancouver
1.
Van Tongel A, Atoun E, Narvani A, Sforza G, Levy O. The “hand squeeze” test for posterior “muscle patterning instability” of the shoulder. ACTA ORTHOPAEDICA BELGICA. 2013;79(1):31–5.
MLA
Van Tongel, Alexander, Ehud Atoun, Ali Narvani, et al. “The ‘Hand Squeeze’ Test for Posterior ‘Muscle Patterning Instability’ of the Shoulder.” ACTA ORTHOPAEDICA BELGICA 79.1 (2013): 31–35. Print.
@article{4265209,
  abstract     = {Muscular patterning can be a contributor of positional posterior shoulder instability. Failure to recognize this pattern may lead to unnecessary surgical treatment with high failure rate. We analyzed the results of a new simple clinical test (hand squeeze test). The test is regarded positive, if during squeezing with the contralateral hand and elevation of the involved arm, in pronation, no posterior shoulder dislocation occurs. The test is regarded negative if posterior dislocation does occur regardless of the {\textacutedbl}hand squeeze{\textacutedbl}. The patients with positive test were treated conservatively. Ten patients (12 shoulders) were treated between July 2006 and July 2010. The 'hand squeeze' test was positive in 8 patients (10 shoulders) and negative in 2 patients (2 shoulders). Both patients with a negative sign had structural lesions in the glenohumeral joint confirmed on arthro-MRI and were treated operatively.},
  author       = {Van Tongel, Alexander and Atoun, Ehud and Narvani, Ali and Sforza, Giusseppe and Levy, Ofer},
  issn         = {0001-6462},
  journal      = {ACTA ORTHOPAEDICA BELGICA},
  language     = {eng},
  number       = {1},
  pages        = {31--35},
  title        = {The 'hand squeeze' test for posterior 'muscle patterning instability' of the shoulder},
  volume       = {79},
  year         = {2013},
}

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