Shoulder Orthopaedic Test: Jobes Relocation Test
Jun 10, 2023Jobe's Relocation Test is a physical examination maneuver used to evaluate anterior instability of the glenohumeral joint. This test is used to determine if the patient's symptoms of pain and/or apprehension with anterior shoulder motion are due to instability of the joint.
Here's a step-by-step procedure for performing Jobe's Relocation Test:
- Ask the patient to lie supine on an examination table with their arm at their side.
- Passively abduct the patient's arm to 90 degrees and externally rotate it to the point of pain or apprehension.
- Apply a posteriorly directed force to the patient's humeral head, using one hand to stabilize the scapula and the other hand to push the humeral head posteriorly.
- Observe the patient's response to the maneuver, looking for a decrease in pain or apprehension as the humeral head is relocated back into the glenoid fossa.
If the patient experiences a decrease in pain or apprehension with the posteriorly directed force, it suggests that anterior instability of the glenohumeral joint may be present.
References:
- Jobe FW, Kvitne RS, Giangarra CE. Shoulder pain in the overhand or throwing athlete. The relation of anterior instability and rotator cuff impingement. Orthop Rev. 1989;18(9):963-975.
- Yergason RM, Scuderi GJ, Garretson RB. The diagnosis of capsular laxity of the shoulder. Am J Sports Med. 1982;10(5):291-296.
- Magee DJ. Orthopedic Physical Assessment. 6th ed. St. Louis, MO: Elsevier Health Sciences; 2013.
- Ellenbecker TS, Roetert EP, Bailie DS, Davies GJ, Brown SW. Glenohumeral joint total rotation range of motion in elite tennis players and baseball pitchers. Med Sci Sports Exerc. 2002;34(2):205-209.
- Hegedus EJ, Goode A, Campbell S, Morin A, Tamaddoni M, Moorman CT 3rd, Cook C. Physical examination tests of the shoulder: a systematic review with meta-analysis of individual tests. Br J Sports Med. 2008;42(2):80-92.
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