Empty can/Full can tests

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The empty can test (Jobe's test) and full can test are used to diagnose shoulder injuries. Specifically, these physical examination maneuvers examine the integrity of the supraspinatus muscle and tendon.[1]

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Empty can/Full can tests
Purposediagnose shoulder injuries
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Test procedures

In both tests, the patient is placed in a standing or sitting position, and the arms are raised parallel to the ground in the scapular plane.[2] The tests differ in the rotation of the arm; in the empty can test, the arm is rotated to full internal rotation (thumb down) and in the full can test, the arm is rotated to 45° external rotation, thumb up.[1] Once rotated, the clinician pushes down on either the wrists or the elbow, and the patient is instructed to resist the downward pressure.[1][2][3]

Test results

The test is considered positive if weakness, pain or both are present during resistance.[1][2][3] A positive test result suggests a tear to the supraspinatus tendon or muscle, or neuropathy of the suprascapular nerve.[3]

Effectiveness

In Orthopedic Physical Assessment Atlas and Video (2011), Magee and Sueki provide the following data on the interrater reliability, specificity, and sensitivity data regarding the Empty can test.[1]

Reliability/Specificity/Sensitivity[1]
Reliability k = 0.43
Specificity 62% - 89.5%
Sensitivity 25% - 88%

References

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