What does a positive lift off test indicate?

Positive. The ability to actively lift the dorsum of the hand off the back constitutes a normal lift-off test. Inability to move the dorsum off the back constitutes an abnormal lift-off test and indicates subscapularis rupture or dysfunction.

What is Gerber’s lift off test?

The testing movement involves the patient performing internal rotation (IR), by lifting the hand off the back while the examiner places pressure on the hand. The test is considered to be positive if the patient cannot resist, lift the hand off the back or if she/he compensates by extending the elbow and shoulder.

How do you check for a torn subscapularis?

If you can’t hold your palm on your shoulder or have a lot of trouble holding it on, you might have a tear in your upper subscapularis. Belly press test. You’ll put your hand on your stomach and press down, using only your hand (not your wrist or elbow). If this hurts, you might have a subscapularis tear.

How accurate is the lift off test?

The accuracy of the tests for diagnosing the lesion was 65% for the bear hug, 59% for the lift-off, 61% for Napoleon and 69% for the belly press.

What does a torn subscapularis feel like?

What does a torn subscapularis feel like? Patients with a subscapularis tear report pain in the front of the shoulder that gets worse at night. Shoulder and arm weakness with pain when raising the arm are also common symptoms of a torn subscapularis muscle.

How do you treat subscapularis pain?

Treatment. Subscapularis tendonitis and tendinopathy is managed conservatively through rest, activity modification, analgesia, ice and physical therapy. Applying ice initially helps reduce pain and inflammation.

How do you fix a subscapularis tear?

Most people with a torn subscapularis tendon need surgery for a good result. The procedure can be done with an open incision or arthroscopically through several portals (small puncture holes). The surgeon may find the tear is impossible to repair. But usually, the tendon is sutured back in place.

How should I sleep with subscapularis pain?

Give these positions a try:

1. Sit in a reclined position. You may find sleeping in a reclined position more comfortable than lying flat on your back.
2. Lie flat on your back with your injured arm propped up with a pillow. Using a pillow may help reduce stress and pressure on your injured side.
3. Lie on your uninjured side.

How long does it take for a subscapularis tear to heal?

How long does it take for a subscapularis to heal? Following subscapularis tendon surgery, the arm is kept in a special sling to protect the repair. Tendons typically take 6-12 weeks to heal, at which time active motion exercises of the shoulder can begin.

How does the Gerber Lift Off test work?

Complete inability to move the hand away from the back is a strong sign of full subscapularis tendon rupture. Pain with movement or resistance can be indicative of a partial tear or of subscapularis tendonitis. Gerber’s Lift Off Test for integrity of the subscapularis is considered to be a very accurate test.

What is a partial rupture of the subscapularis tendon?

Partial rupture of the cranial subscapularis tendon at the insertion site Gerber’s test also known as Lift-Off Test (LOT) or Gerber’s Lift-Off Test. It was first described by Gerber and Krushell (199l).

What kind of test is the lift off Test?

The Lift Off Test (also knows as Gerber’s Test) is commonly used in orthopedic examinations to test for a tear in subscapularis tendon or subscapularis tendonitis. It can also show scapular instability. Read more about rotator cuff tears. The Bear Hug Test is another test for subscapularis integrity.

How does the shoulder lift off test work?

Test The patient is examined in standing and is asked to place their hand behind Their back with the dorsum of the hand resting in the region of the mid- lumbar spine. The dorsum of the hand is raised off the back by maintaining or increasing internal rotation of the humerus and extension at the shoulder.