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Lift-off Test (for subscapularis tear) False Positive

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I will show you how doing the Lift-off test for a subscapularis tear can be deceiving. As with this patient, the posterior capsule can be so tight that the arm can't internally rotate enough for the subscapularis to be able to pull it off the low back. Seeing is believing.
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Опубликовано:

1 фев 2021

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Комментарии : 18

@mmaranger13 Год назад

Wow, I'm currently waiting for an MRI for suspected subscap tear due to lift off test. This guy in the video is EXACTLY me, I stretched it out and the pain is basically gone. Today I started with light weights with no issues or pain. Thanks Doc, you saved me mentally as I didn't want another shoulder surgery. I could also preform a successful lift off within the first hour of stretching. Still weak, but I can do it pain free.

@OrthoEvalPal Год назад

So glad to hear it Landon!

@erickpeterson537 Год назад

My MRI cane back sub scap partial tear and slap tear posterior anterior, 16 sessions of PT, injections helped a little, sending me for more PT. Is there any chance it will work, its been a year since I fell. Thank's

@SaChihiro96 3 года назад

Thank you, your videos are extremely helpful!

@kaitlynborges8839 6 месяцев назад

Amazing thanks for this

@lemonpulpmusic 2 месяца назад

I have had chronic pain in my left upper arm, neck, and upper back for over four years. The only real mobility problem I have with my arm is doing the lift-off test. If I try to attempt it, I can lift my hand but I will get a deep spraining like pain in the upper back tricep into my shoulder. I've had my son assist me with the belly test and I definitely have weakness resisting him pulling my hand away. I have more strength with the bear hug test, but with enough effort my son can get my arm to give. No pain with those two tests, just the lift off test. I have the same pain if i do the lift off test with my right arm. I've had physical therapists test my mobility and strength as you are doing in the beginning of the video and i have no issues. Do you have any advice for what I am experiencing? If I had a tear or tendonitis wouldn't I get pain with overhead arm activities?

@user-xm2ni3ub8m 2 месяца назад

I dislocate my shoulder 2yimes at a tine and i relocate it with myself, but the other day I'll tried to relax my arm in a chair sadly dislocate again and i relocate again,i think i have a case same in that guy because untill now Ii can't move like what he can't 😢 2 weeks from now i cant go to a orthopedic

@TroenderTass 7 месяцев назад

WHy do all these tests when and mr or ultra sound can give you the answere. All of this is speculative, that is my biggest concern with physical therapy. To opinion based.

@gy3n65 3 года назад

Wow! Perfect timing again Doc! I just reviewed all shoulder special tests😃 I am appearing for NPTE and this helps me so much! Thank you!!

@l.holbach5696 Год назад

Hey doc. I had a bankart repair (GLAD lesion) and after the surgery I test positive for the subscapularis (internal rotation/lift off with the arm behind the back), a sharp pain, like 9/10. I didn't had any problem with this before surgery. It's been 2 years now and no improvement. I also got a winged scapula after surgery. Is it possible that the surgery failed and the ancors are hitting the subscapularis? Or is it a mobility issue caused by the winged scapula?

@joelkouyoumjian6892 2 месяца назад

Sounds like you need a good evaluation done.

@LycanXXV 3 года назад

What would a painful lift off test potentially indicate? Specifically pain deep in the anterior shoulder.

@OrthoEvalPal 3 года назад

A subscapularis tear

@adibest26 2 года назад

@@OrthoEvalPal internal rotation excercises is good idea to solve this problem/tear/pain ? Something else? Maybe using ball on the back is good idea too, to loosen tight for example upper traps and places between scapula? Thx for help

@Sprint4serbia 2 года назад

@@OrthoEvalPal how should we treat it?

@OrthoEvalPal 2 года назад

@@Sprint4serbia If there is a complete subscapularis tear then a referral to orthopedics is appropriate

@mohamedorayith4626 3 года назад

Not relevant to this but doing some research- Subscapualris tear or trigger points can jeopardise and worsen symptoms of frozen shoulder.... Why is subscap often related to frozen shoulder; is it because the patient would avoid ER and abduction and stick to internal rotation??