The Shoulder Shrug Sign is an orthopedic test to diagnose Frozen Shoulder as well as osteoarthritis in the shoulder joint.
Jia et al. (2008) found to have a sensitivity 91% with a specificity of 57% in the diagnosis of osteoarthritis in the shoulder and a sensitivity of 95% and a specificity of 50% in the diagnosis of Frozen Shoulder. This means that this test is useful to rule out those two conditions and has a moderate clinical value in our opinion.
To assess for the Shoulder Shrug sign ask your patient to flex his elbows to 90° and to abduct both arms to 90° in the plane of the body and to hold that position briefly.
The Shrugh Sign was considered positive if the patient has to elevate the whole scapula or shoulder girdle – which means he has to shrug the shoulders – to achieve the 90° of shoulder abduction.
21 OF THE MOST USEFUL ORTHOPAEDIC TESTS IN CLINICAL PRACTICE
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