Indications:

Push-Pull test is a shoulder examination used to determine posterior glenohumeral instability.

Procedure:

    1. Patient supine with shoulder abducted 90°, elbow flexed 90.
    2. Examiner grasps just below humeral head & pulls up on wrist & pushes down on arm.
Push Pull test for shoulder

Patient supine with shoulder abducted 90°, elbow flexed 90.

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 (palpated or audible) as the humerus subluxates in & out of the glenoid fossa.