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
- Patient seated or standing, examiners instructs patient to place hand behind back and touch middle back inferiorly, then repeat superiorly
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.
There is often less flexibility during this maneuver on the dominant arm.