Assesses for rotator cuff tear, subacromial impingement, subacromial bursitis, superior labral tear

Performing the Test

  1. The examiner stabilizes the scapula to prevent it from moving by standing behind patient and pushing the scapula against the patient’s rib cage
  2. While maintaining this pressure, the examiner uses their other hand to passively flex the patient’s arm upward
  3. The sign is positive or present if this elicits pain
  4. Sensitivity: 68%
  5. LR+ = 2.2; LR- = 0.46


  1. Essential Evidence Plus. 2011. Accessed February 2011.
  2. Bickley L. Bate’s Guide to Physical Examination and History Taking. 10th ed. New York: Lippincott Williams & Wilkins; 2009.
  3. Hurley K. OSCE and Clinical Skills Handbook. Halifax: Elsevier Canada; 2005.