Purpose: The purpose of this study was to develop a new protocol for the performance of jerk
tests under anesthesia, and to study its correlation to intra-articular pathology
and the diagnosis of a lax or unstable shoulder. Type of Study: Prospective controlled study. Methods: We performed a systematic examination, in the office as well as under anesthesia,
of 300 patients (600 shoulders) divided into 3 homogeneous groups: 100 presented with
instability resulting from recurrent dislocation of one or both shoulders, 100 presented
with alternative shoulder symptomatology without signs of instability, and a further
100 underwent surgery for other locomotor system pathologies. Results: The following statistical sensitivity values were found: anterior jerk, 90.7%; inferior
jerk, 96.2%. Correct interpretation of jerk tests under anesthesia will help us decide
the type and scope of required surgical therapy. Level of Evidence: Level III, Diagnostic Study of Nonconsecutive Patients.
Key Words
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to ArthroscopyAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Inferior capsular shift for involuntary and multidirectional instability of the shoulder.J Bone Joint Surg Am. 1980; 62: 897-907
- In vivo quantification of the laxity of the normal and unstable glenohumeral joints.J Shoulder Elbow Surg. 1994; 3: 215-223
- T-plasty modification of the Bankart procedure for multidirectional instability of the anterior and inferior types.J Bone Joint Surg Am. 1991; 73: 105-112
- Arthroscopic manifestations of shoulder subluxation and dislocations.Clin Orthop. 1993; 291: 54-66
- Evaluation and classification of shoulder instability.Clin Orthop. 1987; 223: 32-43
- Diagnosis of shoulder instability by examination under anesthesia.Clin Orthop. 1993; 291: 45-53
- Physical examination of the shoulder.in: Matsen III, F.A. Fu F.H. Hawkins R.J. The shoulder A balance of mobility and stability. American Academy of Orthopedic Surgeons, Rosemont1993: 331-343
- Selective capsular shift approach for treatment of anterior and multidirectional shoulder instability.Tech Shoulder Elbow Surg. 2001; 2: 225-233
- Translation of the glenohumeral joint in patients with anterior instability.J Shoulder Elbow Surg. 1999; 8: 320-323
- Translation of the glenohumeral joint with the patient under anesthesia.J Shoulder Elbow Surg. 1996; 5: 286-292
- Diagnostic value of the load and shift test for the assessment of the glenohumeral joint laxity.J Shoulder Elbow Surg. 1999; 8: 394
- Examination under anesthesia for evaluation of anterior shoulder examination.Am J Sports Med. 1999; 27: 464-468
- Intraoperative measurement of the shoulder translation.J Shoulder Elbow Surg. 2001; 10: 358-364
- Translation of the glenohumeral joint in patients with multidirectional and posterior instability.J Shoulder Elbow Surg. 2001; 10: 416-420
- Clinical assessment of instability of the shoulder. With special reference to anterior and posterior drawer tests.J Bone Joint Surg Br. 1984; 66: 551-556
- Translation of the humeral head on the glenoid with passive glenohumeral motion.J Bone Joint Surg Am. 1990; 72: 1334-1343
- Laxity of the normal glenohumeral joint.J Shoulder Elbow Surg. 1992; 1: 66-76
- Normal and abnormal mechanics of the glenohumeral joint in the horizontal plane.J Bone Joint Surg Am. 1988; 70: 227-232
- Diagnostic techniques for shoulder instability.Instr Course Lect. 1985; 34: 239-257
- Effect of lesions of the superior portion of the glenoid labrum on glenohumeral translation.J Bone Joint Surg Am. 1995; 77: 1003-1010
- Normal and abnormal motion of the shoulder.J Bone Joint Surg Am. 1976; 58: 195-201
- Le ressaut dynamique antérieur de l’épaule.Rev Chir Orthop. 1994; 80: 461-467
- Diagnosis and management of AMBRI syndrome.Tech Orthop. 1991; 6: 61-73
- A study of diagnostic reliability in inferior shoulder instability.Arthroscopy. 2002; 18: 287-291
- Arthroscopic therapy of recurrent anterior luxation of the shoulder by capsular repair.Arthroscopy. 1992; 8: 296-304
- Arthroscopic Bankart suture repair for traumatic anterior shoulder instability. Analysis of the causes of a recurrence.Arthroscopy. 1998; 3: 295-301
- A simple and secure anchoring system for Caspari’s transglenoid multiple suture technique using biodegradable poly-L-lactic acid button.Arthroscopy. 1998; 14: 295-301
- Arthroscopy and stability testing for anterior shoulder instability.Arthroscopy. 1989; 5: 315-320
- The anterior labroligamentous periosteal sleeve avulsion lesion. A cause of anterior instability of the shoulder.Arthroscopy. 1993; 9: 17-21
- The role of the rotator interval capsule in passive motion and stability of the shoulder.J Bone Joint Surg Am. 1992; 74: 53-66
- The arthroscopic treatment of multidirectional shoulder instability.Arthroscopy. 1997; 13: 418-425
- Arthroscopic labral debridement.Am J Sports Med. 1992; 20: 702-706
- Clinical evaluation of the shoulder problems.in: Rockwood C.A. Matsen III, F.A. The shoulder. WB Saunders, Philadelphia1990: 149-177
- The Ortolani test of the shoulder.Arthroscopy. 1999; 15: S54
- Classification and physical diagnosis of instability of the shoulder.Clin Orthop. 1983; 291: 7-19
- Dislocations about the shoulder.in: Rockwood C.A. Green D.P. Fractures. Vol 1. JB Lippincott, Philadelphia1975: 677-680
- Anterior shoulder instability.in: Jobe F.W. Operative techniques in upper extremity sports injuries. Mosby-Year Book, St Louis1996: 177-190
- Evaluation of shoulder laxity.Sports Med. 1996; 22: 264-272
- Posterior shoulder laxity in asymptomatic athletes.Am J Sports Med. 1996; 24: 468-471
- Clinical significance of the arthroscopic drive-through sign in shoulder surgery.Arthroscopy. 2001; 17: 38-43
- Arthroscopic shoulder stabilization.Oper Tech Sports Med. 1993; 1: 276-284
- Arthroscopic capsulorrhaphy for multidirectional instability.Oper Tech Sports Med. 1997; 5: 233-237
- Arthroscopic management of glenohumeral instability.Am J Sports Med. 2000; 28: 602-614
- Arthroscopy.in: Matsen III, F.A. Fu F.H. Hawkins R.J. The shoulder A balance of mobility and stability. American Academy of Orthopedic Surgeons, Rosemont1993: 369-378
- The surgical treatment of anterior instability.Oper Tech Sports Med. 1993; 1: 285-292
- Intrarater and interrater reliability of a manual technique to assess anterior humeral head translation of the glenohumeral joint.J Shoulder Elbow Surg. 2002; 11: 470-475
Article Info
Identification
Copyright
© 2005 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.