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Cluster for SLAP lesions 2

Source: Physiotutors

Execution

  1. 1Perform the relocation / Jobe relocation test and record whether symptoms reduce with posterior humeral-head pressure.
  2. 2Perform the apprehension test and record whether apprehension, not just pain, is reproduced.
  3. 3Interpret the cluster as positive only when both relocation and apprehension findings are positive.
  4. 4Distinguish instability-dominant responses from nonspecific shoulder pain responses.
  5. 5Use the result as a labral / instability-supporting finding rather than a standalone SLAP diagnosis.

Positive outcome

Both relocation and apprehension tests are positive. Magee’s eAppendix lists this as a labral-tear cluster with a moderate likelihood shift.

Studies

StudyReliabilitySnSpLR+LR−
Magee eAppendix summary / Walsworth et al. (2008)NANANA5.430.67

CommentThis cluster overlaps strongly with instability assessment; a positive result may reflect anterior instability with labral involvement rather than an isolated SLAP lesion. Magee reports it under labral-cluster evidence, so the app should avoid over-labelling it as SLAP-specific. The likelihood shift is moderate.

Moderate Clinical Value

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