Shoulder Orthopaedic Test: Jobes Relocation Test

Jobe'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:

1. Ask the patient to lie supine on an examination table with their arm at their side.
2. Passively abduct the patient's arm to 90 degrees and externally rotate it to the point of pain or apprehension.
3. 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.
4. 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:

1. 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.
2. Yergason RM, Scuderi GJ, Garretson RB. The diagnosis of capsular laxity of the shoulder. Am J Sports Med. 1982;10(5):291-296.
3. Magee DJ. Orthopedic Physical Assessment. 6th ed. St. Louis, MO: Elsevier Health Sciences; 2013.
4. 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.
5. 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.