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FULL-THICKNESS TEAR OF THE INFRA- AND/OR SUPRASPINATUS? THE LATERAL ROTATION LAG SIGN During the Drop Arm Sign position there are a lot of muscles that can potentially compensate for a weak infra- and supraspinatus. A more specific (but less sensitive) test for full-thickness tears of the supraspinatus and infraspinatus is the Lateral/External Rotation Lag Sign. This seems kind of logical as we mentioned earlier that the infraspinatus and supraspinatus are external rotators of the glenohumeral joint. Miller et al. (2008) evaluated the diagnostic accuracy of this test and found a low sensitivity of 46%, but a high specificity of 94%. This means that this test cannot be used to rule out full-thickness tears with a negative LR- of 0.57, but it is useful to rule in/confirm full-thickness tears off the supra- and infraspinatus with a LR of 7.67 | Physiotutors
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