OnExam

The Mimori pain provocation test is used to assess for superior labral tears.

Performing the Test

  1. The patient's arm is passively abducted to 90°, elbow flexed to 90°, externally rotated to 90°, and forearm placed in supination
  2. The examiner then moves forearm into pronation
  3. The test is positive if pain is provoked with passive pronation
  4. Sensitivity: ≥83%; specificity: ≥90%

References

  1. Luime JJ et al. 2004. Does This Patient Have an Instability of the Shoulder or a Labrum Lesion? JAMA 292(16):1989-1999
  2. Magee D. Orthopedic Physical Assessment. 1st ed. Philadelphia:Saunders; 1986.