Indications

Anterior Apprehension test is a shoulder stability examination to determine if there is anterior instability of the glenohumeral joint capsule. The test can also be referred to as Shoulder Apprehension sign or Crank test.

Synonym: Inferior/superior hand to shoulder blade test

Procedure:

  1. Patient seated or standing, examiners instructs patient to place hand behind back and touch middle back inferiorly, then repeat superiorly
shoulder orthopaedic test

Patient seated or standing, examiners instructs patient to place hand behind back and touch middle back inferiorly, then repeat superiorly

Interpretation:

Positive Apley’s Inferior and Superior Scratch

Pain and inability to perform motion → rotator cuff pathology (bicipital or supraspinatus tendinitis), external GH rotator tightness or pathology, labral pathology, AC arthritis, capsular/muscle contracture.

Clinical notes:

There is often less flexibility during this maneuver on the dominant arm.