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 .
A modification of the relocation test: arthroscopic findings associated with a positive test.
Thirteen overh and -throwing athletes who failed at least 3 months of physical therapy while restricted from throwing and who demonstrated a positive modified relocation test at 90 degrees , 110 degrees , and /or 120 degrees were clinical ly and arthroscopically examined . On arthroscopic examination , all patients demonstrated articular surface pathology .  Eleven patients had fraying of the undersurface of the rotator cuff , and 10 patients had fraying of the posterosuperior labrum . With 90 degrees shoulder abduction , 8 patients had rotator cuff contact with the posterosuperior labrum . When the shoulder was abducted to 110 degrees , all patients demonstrated such contact . At 120 degrees of abduction , 12 patients revealed contact . The presence or absence of pain during the modified relocation test correlated with the presence or absence of cuff contact with the posterosuperior labrum 79 % of the time . Six patients had a positive modified relocation test at all levels of abduction . These patients included 2 with SLAP lesions , 1 with a Bankart lesion , and 1 with a complete tear of the rotator cuff
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 .