Lift Off Sign | Subscapularis Tear Exam | Shoulder Assessment
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Lift Off Sign | Subscapularis Tear Exam | Shoulder Assessment
The Lift-Off sign or test is a common orthopedic test to assess for full-thickness ruptures of the subscapularis muscle-tendon unit.
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Gerber's Lift-Off Test — Detecting Subscapularis Tears
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Lift-Off Test – Subscapularis Muscle Tear & Weakness 🔍 What does this test assess? The Lift-Off Test evaluates the integrity and strength of the subscapularis, the primary internal rotator of the shoulder. 🧍‍♂️ Test Position: • Patient places the dorsum of the hand on the lower back • Shoulder in extension internal rotation 🖐️ Procedure: ➡️ Ask the patient to lift the hand away from the back ➡️ Examiner may add gentle resistance ❌ Positive Test: • Inability to lift the hand • Marked weakness
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Lift-Off Test – Subscapularis Muscle Tear & Weakness 🔍 What does this test assess? The Lift-Off Test evaluates the integrity and strength of the subscapularis, the primary internal rotator of the shoulder. 🧍‍♂️ Test Position: • Patient places the dorsum of the hand on the lower back • Shoulder in extension internal rotation 🖐️ Procedure: ➡️ Ask the patient to lift the hand away from the back ➡️ Examiner may add gentle resistance ❌ Positive Test: • Inability to lift the hand • Marked weakness
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Lift-Off Test – Subscapularis Muscle Tear & Weakness 🔍 What does this test assess? The Lift-Off Test evaluates the integrity and strength of the subscapularis, the primary internal rotator of the shoulder. 🧍‍♂️ Test Position: • Patient places the dorsum of the hand on the lower back • Shoulder in extension internal rotation 🖐️ Procedure: ➡️ Ask the patient to lift the hand away from the back ➡️ Examiner may add gentle resistance ❌ Positive Test: • Inability to lift the hand • Marked weakness
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Lift-Off Test – Subscapularis Muscle Tear & Weakness 🔍 What does this test assess? The Lift-Off Test evaluates the integrity and strength of the subscapularis, the primary internal rotator of the shoulder. 🧍‍♂️ Test Position: • Patient places the dorsum of the hand on the lower back • Shoulder in extension internal rotation 🖐️ Procedure: ➡️ Ask the patient to lift the hand away from the back ➡️ Examiner may add gentle resistance ❌ Positive Test: • Inability to lift the hand • Marked weakness
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