Active Compression Test in a Normal patient - Shoulder Exam - Dr. William Levine

Video Description

This video demonstrates the Active Compression Test in a normal patient.

Purpose:
The active compression test is positive when there is pain "superficial" over the AC joint while the forearm is pronated but not when the forearm is supinated.

Technique:
The patient forward flexes the affected arm to 90 degrees while keeping the elbow fully extended. The arm is then adducted 10-15 degrees across the body. The patient then pronates the forearm so the thumb is pointing down. The examiner applies downward force to the wrist while the arm is in this position while the patient resists. The patient then supinates the forearm so the palm is up and the examiner once again applies force to the wrist while the patient resists.

Video is performed by Dr. William Levine