Which test is used to identify shoulder labrum pathology?

The Pain Provocation Test is utilized specifically to assess shoulder labrum pathology by provoking symptoms associated with labral tears or dysfunction. This test focuses on reproducing pain in the shoulder, which can indicate underlying issues with the labrum. When the labrum is compromised, certain movements—particularly those involving rotation or specific positioning—can elicit discomfort or a painful response, thereby assisting the clinician in diagnosing the presence of a labral lesion.

This test is particularly effective because it requires the clinician to apply stress to the shoulder joint in a way that specifically targets the labrum, allowing for direct observation of symptom reproduction.

In contrast, other tests such as the Biceps Load Test, Compression Rotation Test, and Resisted Supination External Rotation Test involve different mechanisms or focus on related but distinct aspects of shoulder stability, like biceps tendon involvement or general shoulder mechanics, rather than targeting the labral structures directly. Therefore, while valuable in the context of shoulder assessment, they may not be as definitive in diagnosing labral pathology specifically as the Pain Provocation Test.