Indications:

Norwood’ Stress test is a shoulder examination used to determine posterior humeral head instability.

Procedure:

  1. Patient supine shoulder abducted 90° & internally rotated, elbow flexed 90°.
  2. Examiners stabilize the scapula while palpating glenohumeral joint, then horizontally adducts shoulder & applies A→P pressure.
Norwood stress test for shoulder

Patient supine shoulder abducted 90° & internally rotated, elbow flexed 90°. Examiners stabilize the scapula while palpating glenohumeral joint, then horizontally adducts shoulder & applies A→P pressure.

Interpretation:

Positive Apprehension or increased motion → Posterior glenohumeral instability.
Positive Local pain → rotator cuff ligament/tendon damage.

Clinical notes:

A palpable click or clunk may be noted as the humerus subluxates in & out of the glenoid fossa.