Shoulder Assessment

Hornblower's Sign | Teres Minor & Infraspinatus Insufficiency Assessment

Buying options
Hornblower's Sign

Hornblower’s Sign | Teres Minor & Infraspinatus Insufficiency Assessment

Walch et al from 1998 report a sensitivity of 100% and specificity of 93% in the detection of irreparable fatty degeneration of the teres minor. While the numbers are solid, the research is at risk of bias and thus in our opinion, we can only attribute a weak clinical value to this test.

In a different study, Jain et al from 2017 report a sensitivity of 17% and specificity of 96% in the detection of an infraspinatus tear which results in a positive likelihood ratio of 4.25. In our opinion, the study produces acceptable results which is why we attribute their findings at least a moderate clinical value. 

To conduct the test have the patient in sitting position with the arm abducted to 90° in the scapular plane. Flex the elbow to 90° and instruct the patient to perform external rotation against your resistance.

A positive test results in the inability of the patient to externally rotate in this position.

Other common orthopedic tests to assess for full-thickness tears of the rotator cuff are:

21 OF THE MOST USEFUL ORTHOPAEDIC TESTS IN CLINICAL PRACTICE

Physiotutors Free Assessment E-book

 

References

Jain NB, Luz J, Higgins LD, Dong Y, Warner JJ, Matzkin E, Katz JN. The diagnostic accuracy of special tests for rotator cuff tear: the ROW cohort study. American journal of physical medicine & rehabilitation. 2017 Mar;96(3):176.

Walch G, Boulahia A, Calderone S, Robinson AH. The ‘dropping’and ‘hornblower’s’ signs in evaluation of rotator-cuff tears. The Journal of bone and joint surgery. British volume. 1998 Jul;80(4):624-8.

LIKE WHAT YOU’RE LEARNING?

BUY THE FULL PHYSIOTUTORS ASSESSMENT BOOK

  • 600+ Pages e-Book
  • Interactive Content (Direct Video Demonstration, PubMed articles)
  • Statistical Values for all Special Tests from the latest research
  • Clinical Value Recommendation
  • Detailed descriptions & searchable
  • Currently on Version 4.0 – Free lifetime updates
  • And much more!
E-Book

ALL ORTHOPEDIC TESTS IN ONE PLACE

SEE ALL PRODUCTS
Assessment app banner
Assessment E-book
Reviews

What customers have to say about the Assessment E-Book

  • Kangmin Lee Avatar
    Kangmin Lee
    15/09/20

    The Assessment E-Book This is amazing book for health professions & students

    Janine Doe Avatar
    Janine Doe
    14/08/20

    The Assessment E-Book The book is fantastic. A great acquisition for all professionals because it presents all information in a concise, clear and grouped way.

    As I said earlier I would like to be able to access the material on all my devices.

  • Vince1992 Avatar
    Vince1992
    25/04/20

    The Assessment E-Book This book helped me in my studying for my exam and in assessing my first patients. Awesome! Also for beginners!

    Simon Pagitz Avatar
    Simon Pagitz
    06/04/20

    The Assessment E-Book It’s an amazing Compilation! Congrats to all the work you have put in there. You’ll propably find all the test’s you’ve been looking for with propper explaination and source to doublecheck for you self. definetly a must have for every student, but it will also help an experienced practioner. Im looking forward to the lifelong updates on the topics.
    Great work, guys

  • Angel10 Avatar
    Angel10
    27/11/19

    The Assessment E-Book (Spanish Version) Excelente Libro electrónico, me gusta que esta basado en la evidencia clínica y me apoya mucho para mi practica clínica. Es el mejor libro que he visto de evaluación, y me gusta mucho que esta en constante actualización, estaría bien meter más evaluaciones funcionales, que ya comienzan a subir en los videos con la nueva integrante mujer al equipo. Gracias kai y Andreas.

    혁 이 Avatar
    혁 이
    17/11/19

    The Assessment E-Book I can’t believe this extremely inconvenience interface of this book. I’m used to reading my physio books with kindle, ipad just swiping the page back and forth, but this book , you need to tap the arrow on the left corner of the book to turn the page..even space bar and enter key don’t work to turn the page..it’s feel like read a book in the computer in 1990s..

  • Jordi Burrut Avatar
    Jordi Burrut
    27/10/19

    The Assessment E-Book A must-have for all physiotherapists, osteopaths and manual therapists. The authors conducted an extensive research on assessment tests in manual therapy. I find it very easy to read. The more I read the more I learn. Thank you!

    Roel Rademaker Avatar
    Roel Rademaker
    02/10/19

    The Assessment E-Book Very helpful during my study and making clinical decisions. You have made the test descriptions perfect for every region! Compliments! Loving the extra information (screening/guidelines) that comes with the cervical spine and the lumbar spine. Looking forward to see those as well for the other regions.

  • Manel Avatar
    Manel
    01/08/19

    The Assessment E-Book (Spanish Version) Un libro genial!!! Pero le doy 4 estrellas en vez de 5 ya que no me gusta el poder abrirlo solo en dos dispositivos. Tengo 2 ordenadores (uno en el trabajo), un móvil y una tablet, pudiendo abrirlo solo en dos de ellos. Por lo demás, un libro muy recomendable.

    Josh Avatar
    Josh
    07/07/19

    The Assessment E-Book This book is great! It is very structured and detailed. It works extremely well on my Macbook and iPad.

  • Julia Hauser
    12/06/19

    The Assessment E-Book These are probably the best 80€ that I have ever invested in a book. Absolutly greatful for your work. It has been such a great effort, that you have put into this book and together with your videos, it really helped me to pass some exams and to later decide which assessment to use for my patients. I can only recommend this book to every single physiotherapist or physio student!!!
    thumps up, guys

    Polo_soa Avatar
    Polo_soa
    15/02/19

    The Assessment E-Book The best way to spend 80euros. Totally worth it. The amount of work you put behind this must have been absolutely huge. Every physical or physiotherapist should own it.
    Congrats guys you’ve done an incredible job.
    I’ve learnd a lot of new things and my approach to therapy in general have totally changed.
    In one word: amazing. Keep going guys ! Best wishes from france.

  • VCocho Avatar
    VCocho
    02/01/19

    The Assessment E-Book Congrats ! It’s an amazing work ! A great book you have to work with: on a computer & on my iPad, at home and at work ! Links with articles and videos are fabulous !
    Thank you very much & long life to Physiotutors !

    dominicledinger Avatar
    dominicledinger
    31/12/18

    The Assessment E-Book A must-have for every pt in this field! Excellent content that is absolutely worth the price. As you can use the ebook on two different devices, you can have it on your (work) computer and your phone.

  • Simon Busk Avatar
    Simon Busk
    01/12/18

    The Assessment E-Book Got me through my assessment exams with a breeze would not have been as easy and enjoyable without the assessment handbook. It provides relevant data, and insights into statistical values and the lay of the land on the research side of things. A great book and a must for any physiotherapist, student, or practitioner...

    Marios Pan Avatar
    Marios Pan
    30/10/18

    The Assessment E-Book Very good book to easily find relevant tests and their clinical value. I would recommend it for everyone in the Musculoskeletal or Sports Medicine field.

  • Facundo Avatar
    Facundo
    20/09/18

    The Assessment E-Book -

Wait before you go!LEARN TO TREAT THE MOST COMMON CAUSE OF VERTIGO

In this FREE video series by 
Vestibular Rehab Specialist
FIRAT KESGIN