Execution
- 1Position the patient supine with the scapula close to the edge of the table.
- 2Place the shoulder in 90° abduction, the elbow in approximately 65° to 70° flexion, and the forearm neutral or slightly pronated.
- 3Ask the patient to maximally supinate the forearm against resistance.
- 4Maintain resisted supination while externally rotating the shoulder to end range.
- 5Note anterior / deep shoulder pain, clicking, catching, or reproduction of symptoms.
Positive outcome
Anterior or deep shoulder pain, clicking, catching, or reproduction of familiar symptoms is positive. Posterior shoulder pain, no pain, or apprehension is considered negative in Magee’s description.
Studies
| Study | Reliability | Sn | Sp | LR+ | LR− |
|---|---|---|---|---|---|
| Myers et al. (2005) | NA | 82.8 | 81.8 | 4.55 | 0.21 |
| Dessaur & Magarey (2008) — systematic review | NA | 83 | 82 | NA | NA |
CommentRSERT is one of the more credible SLAP tests because it attempts to reproduce the peel-back mechanism and has comparatively balanced Sn / Sp. It still should not be used alone because SLAP studies are heterogeneous and often include mixed pathology. Posterior pain during the manoeuvre should not be scored as positive by Magee’s criteria.
Moderate Clinical Value