No tests for impingement or acromioclavicular ( AC ) joint pathology demonstrated significant diagnostic accuracy .
Based on pooled data , the diagnostic accuracy of the Neer test for impingement , the Hawkins-Kennedy test for impingement and the Speed test for labral pathology is limited .
Currently , almost without exception , there is a lack of clarity with regard to whether common OSTs used in clinical examination are useful in differentially diagnosing pathologies of the shoulder
OBJECTIVE To compile and critique research on the diagnostic accuracy of individual  orthopaedic physical examination tests in a manner that would allow clinicians to judge whether these tests are valuable to their practice .
The Resisted Supination External Rotation Test
Purpose To evaluate a new clinical test , the resisted supination external rotation test , for the diagnosis of superior labral anterior posterior lesions of the shoulder . Study Design Cohort study ( diagnosis ) ; Level of evidence , 2 . Methods Forty athletes ( average age , 23.9 years ) with activity-related shoulder pain were enrolled in the study . The patients underwent 3 different tests design ed specifically to detect superior labral anterior posterior lesions ( the resisted supination external rotation test , the crank test , and the active compression test ) ; the tests were performed in a r and om order on the affected shoulder . The results of the tests were compared with arthroscopic findings . Results Out of 40 athletes , 29 ( 72.5 % ) had superior labral anterior posterior tears . The resisted supination external rotation test had the highest sensitivity ( 82.8 % ) , specificity ( 81.8 % ) , positive predictive value ( 92.3 % ) , negative predictive value ( 64.3 % ) , and diagnostic accuracy ( 82.5 % ) of all tests performed . Conclusion By re-creating the peel-back mechanism , the resisted supination external rotation test is more accurate than 2 other commonly used physical examination tests design ed to diagnose superior labral anterior posterior tears in overhead-throwing athletes . By using this test in the context of a thorough clinical history and physical examination , lesions of the superior labrum can be more reliably diagnosed
No tests for impingement or acromioclavicular ( AC ) joint pathology demonstrated significant diagnostic accuracy .
Based on pooled data , the diagnostic accuracy of the Neer test for impingement , the Hawkins-Kennedy test for impingement and the Speed test for labral pathology is limited .
Currently , almost without exception , there is a lack of clarity with regard to whether common OSTs used in clinical examination are useful in differentially diagnosing pathologies of the shoulder
OBJECTIVE To compile and critique research on the diagnostic accuracy of individual  orthopaedic physical examination tests in a manner that would allow clinicians to judge whether these tests are valuable to their practice .