Which test is used as a labral test?

• A. Clunk/Jerk Test
• B. Crank Test
• C. Neer Test
• D. Hawkins-Kennedy Test

Answer: (B)

Tests for the glenoid labrum reproduce symptoms by stressing the labral tissue through compression and rotation of the humeral head. The crank test does exactly that: with the arm in about 90 degrees of abduction in the scapular plane, an axial load is applied through the humerus while the arm is internally and externally rotated. If this reproduces deep shoulder pain or a grinding/clunk, it suggests a labral tear, such as a SLAP lesion. Neer and Hawkins-Kennedy are more about subacromial impingement than labral pathology, and while a clunk test can indicate a labral tear, the crank test is the classic maneuver used to provoke labral symptoms with controlled compression and rotation. This makes it the best choice for identifying labral pathology in this context.