Lift Off Test

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 Lift Off Test


What is Lift Off Test?

Lift-Off Test (or Gerber Lift-Off Test) is used to check for isolated rupture of the subscapularis tendon of the rotator cuff of the shoulder.

This test was first described by Gerber and Krushell.

Another special tests for tendon is Belly Press Test, Internal Rotation Lag Sign and Bear Hug Test.

See Also: Rotator Cuff of the Shoulder

How do you perform a Lift Off Test?

Lift Off Test

What does a positive Lift Off Test mean?

See Also: Belly Press Test

Lift-Off Test Accuracy

The Lift-Off Test has been found to have a high sensitivity and specificity for a tear of the subscapularis1:

Another study by Márcio Schiefer addressed that lift off test has a low Sensitivity (25 %) and high Specificity (92 %) 2 .

Note

Reference

  1. Gerber C, Krushell RJ: Isolated rupture of the tendon of the subscapularis muscle: clinical features in 16 cases. J Bone Joint Surg 73B:389–394, 1991. PMID: 1670434.
  2. Márcio Schiefer, Yonder Archanjo Ching-San Júnior, Sérgio Maurício Silva, César Fontenelle, Marcos Genúncio Dias Carvalho, Fabio Garcia de Faria, and José Sérgio Franco: CLINICAL DIAGNOSIS OF SUBSCAPULARIS TENDON TEAR USING THE BEAR HUG SEMIOLOGICAL MANEUVER. Rev Bras Ortop. 2012 Sep-Oct; 47(5): 588–592. PMID: 27047870
  3. Stefko JM, Jobe FW, Vanderwilde RS, Carden E, Pink M. Electromyographic and nerve block analysis of the subscapularis lift off test. J Shoulder Elb Surg. 1997;6:347–55.
  4. Campbel’s Operative Orthopaedics 13th Book
  5. Clinical Tests for the Musculoskeletal System, Third Edition book.
  6. Mark Dutton, Pt . Dutton’s Orthopaedic Examination, Evaluation, And Intervention, 3rd Edition Book.
  7. Millers Review of Orthopaedics, 7th Edition Book.




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