Sulcus sign
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The Sulcus sign is an orthopedic evaluation test for glenohumeral instability of the shoulder (glenohumeral joint). This test can be administered with the patient either seated or standing with his arm relaxed at her side. The examiner palpates the shoulder by placing her thumb and fingers on the anterior and posterior aspects of the humeral head.
The examiner grasps the patient's elbow with her other hand and applies a downward distraction force. With excessive inferior translation, a depression occurs just below the acromion. A positive test will result in a sulcus being formed between the acromion and the humeral head as the humeral head moves inferiorly while the force is being applied.
Acknowledgement and Attribution Regarding Sources of Content
Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .
