{"id":168418,"date":"2026-07-29T10:45:52","date_gmt":"2026-07-29T10:45:52","guid":{"rendered":"https:\/\/pabau.com\/?p=168418"},"modified":"2026-08-13T11:36:51","modified_gmt":"2026-08-13T11:36:51","slug":"clunk-test","status":"publish","type":"post","link":"https:\/\/pabau.com\/de\/templates\/clunk-test\/","title":{"rendered":"Clunk test: Procedure, interpretation and documentation template"},"content":{"rendered":"\n<script type=\"application\/ld+json\">{\"@context\":\"https:\/\/schema.org\",\"@type\":\"MedicalWebPage\",\"headline\":\"Clunk Test: Procedure, Positive Findings, and Clinical Documentation Template\",\"description\":\"A comprehensive clinician guide to the clunk test for detecting glenoid labral tears and SLAP lesions, including step-by-step procedure, positive test interpretation, diagnostic accuracy, and a free downloadable assessment template for clinical documentation.\",\"url\":\"https:\/\/pabau.com\/templates\/clunk-test\/\",\"audience\":{\"@type\":\"MedicalAudience\",\"audienceType\":\"Clinician\"},\"reviewedBy\":{\"@type\":\"Person\",\"name\":\"Dr Vanja Kitanova\",\"jobTitle\":\"Medical Reviewer\",\"affiliation\":{\"@type\":\"Organization\",\"name\":\"Pabau\"},\"knowsAbout\":[\"Orthopedic Special Tests\",\"Clinical Assessment Techniques\",\"Shoulder Pathology Evaluation\",\"Clinical Documentation\"],\"sameAs\":\"https:\/\/pabau.com\/blog\/author\/vanja\/\"},\"mainEntity\":{\"@type\":\"DigitalDocument\",\"name\":\"Clunk Test\",\"description\":\"A ready-to-use clinical assessment template for documenting clunk test findings, patient positioning, examiner observations, and interpretation of positive results in shoulder pathology evaluation.\",\"encodingFormat\":\"application\/pdf\",\"url\":\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/templates\/clunk-test\/clunk-test.pdf\",\"inLanguage\":\"en\",\"isAccessibleForFree\":true,\"offers\":{\"@type\":\"Offer\",\"price\":\"0\",\"priceCurrency\":\"USD\",\"availability\":\"https:\/\/schema.org\/InStock\"},\"hasDigitalDocumentPermission\":{\"@type\":\"DigitalDocumentPermission\",\"permissionType\":\"https:\/\/schema.org\/ReadPermission\"},\"author\":{\"@type\":\"Organization\",\"name\":\"Pabau\",\"url\":\"https:\/\/www.pabau.com\"},\"datePublished\":\"2026-07-28\"},\"datePublished\":\"2026-07-28\",\"dateModified\":\"2026-07-29\"}<\/script>\n\n\n        <div id=\"key_takeaways\">\n            <div class=\"header\">\n                                    <img decoding=\"async\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2025\/12\/Key-Takeaways-Icon.svg\" alt=\"Key takeaways\" height=\"42\" width=\"42\">\n                                <h3>Key takeaways<\/h3>\n            <\/div>\n            <div class=\"list\">\n                                                            <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>The clunk test is an orthopedic special test performed supine to detect glenoid labral tears and SLAP lesions.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>A positive clunk test produces a clunking or grinding sensation during humeral rotation in full abduction.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Well-validated diagnostic-accuracy data specific to the clunk test are not currently available, so pair it with other special tests and imaging.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Pabau&#8217;s digital forms and clinical documentation features streamline clunk test assessment recording for practice records.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<div style=\"background: linear-gradient(135deg, #E2F2FD 0%, #DFE3FD 100%); border-radius: 16px; padding: 40px; margin: 32px 0;\">\n<h2 style=\"margin: 0 0 12px 0; font-size: 22px; color: #121d36;\">Download your free clunk test assessment template<\/h2>\n<p style=\"margin: 0 0 20px 0; color: #444; font-size: 15px;\">A ready-to-use clinical assessment template for documenting patient positioning, examiner observations, positive\/negative findings, and clinical interpretation of the clunk test. Streamlines record-keeping and ensures consistent documentation across your practice team.<\/p>\n<a style=\"display: inline-block; background: #037CD2; color: #fff; padding: 14px 28px; border-radius: 8px; text-decoration: none; font-weight: 600; font-size: 15px;\" href=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/templates\/clunk-test\/clunk-test.pdf\" target=\"_blank\" rel=\"noopener\">Download template<\/a>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Shoulder labral tears affect thousands of patients annually, particularly in overhead athletes and individuals with glenohumeral instability. Many practitioners struggle to confidently perform and interpret special tests during the clinical examination, leading to missed pathology or unnecessary imaging referrals. The <strong>clunk test<\/strong> is a widely used orthopedic assessment that detects glenoid labral tears and superior labral pathology during a standard shoulder exam.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This guide explains how to perform the clunk test, interpret positive findings, and document results accurately. Physical therapists, athletic trainers, orthopedic surgeons, and sports medicine specialists all rely on accurate shoulder assessment to guide treatment. <\/p>\n\n\n\n<h2 id=\"h-what-is-the-clunk-test-definition-and-clinical-purpose\" class=\"wp-block-heading\">What is the clunk test? Definition and clinical purpose<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The <strong>clunk test<\/strong> is a specialized orthopedic test that assesses the integrity of the glenoid labrum. It helps clinicians detect labral pathology, including glenoid labral tears and SLAP lesions (superior labral anterior to posterior tears). Performed with the patient supine, the test moves the shoulder through specific ranges while applying force. The examiner listens for sounds or sensations that indicate structural damage.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In clinical practice, the clunk test serves as a screening tool during shoulder examination. A positive result is a clunking, clicking, or grinding sensation. This suggests labral involvement and typically prompts imaging (MRI or MRA) or a specialist referral. The test is particularly valuable in sports medicine settings, where overhead athletes frequently present with labral tears.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Unlike imaging, the clunk test requires no equipment and takes seconds to perform during a routine shoulder examination. However, clinicians must understand its limitations. Well-validated diagnostic-accuracy data specific to the clunk test are not currently available in the literature. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Clinicians should treat it as one part of a broader clinical picture, not a standalone diagnostic figure. Always integrate the clunk test result with patient history, other special test findings, and imaging results before drawing clinical conclusions.<\/p>\n\n\n\n<h2 id=\"h-anatomy-glenoid-labrum-and-glenohumeral-joint\" class=\"wp-block-heading\">Anatomy: Glenoid labrum and glenohumeral joint<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Understanding the anatomy underlying the clunk test helps clinicians interpret findings and explain results to patients. The glenoid labrum is a ring of fibrocartilage attached to the rim of the glenoid, the socket of the shoulder joint. It deepens the socket, stabilizes the humeral head, and distributes load across the glenohumeral joint during movement.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Superior Labrum (SLAP):<\/strong> Attaches to the long head of the biceps tendon. SLAP lesions commonly occur in overhead athletes from repetitive stress or sudden traction injuries.<\/li>\n\n\n\n<li><strong>Anterior and Posterior Labrum:<\/strong> Stabilize the humeral head and prevent anterior\/posterior translation during arm movement. Tears here reduce dynamic stability.<\/li>\n\n\n\n<li><strong>Glenohumeral Joint:<\/strong> The articulation between the humeral head and glenoid. Labral tears increase abnormal joint motion and stress on supporting structures.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">When the labrum is torn, the shoulder loses both mechanical stability and proprioceptive feedback. During the clunk test, a torn labral edge or loose piece may shift suddenly as the examiner applies anterior force and rotates the humerus. This produces the characteristic &#8222;clunk&#8220; sound that signals a positive test. That mechanism is why the clunk test remains a practical bedside screening tool.<\/p>\n\n\n\n<h2 id=\"h-how-to-perform-the-test-step-by-step-procedure\" class=\"wp-block-heading\">How to perform the test: Step-by-step procedure<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The clunk test is straightforward to perform and requires no special equipment. Below is the standard procedure clinicians use to assess labral integrity during shoulder examination.<\/p>\n\n\n\n<h3 id=\"h-patient-positioning\" class=\"wp-block-heading\">Patient positioning<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Position the patient supine on the examination table.<\/li>\n\n\n\n<li>The shoulder to be tested should be at the table edge, allowing free arm movement.<\/li>\n\n\n\n<li>Ask the patient to relax their arm and shoulder musculature. Tension reduces test sensitivity.<\/li>\n<\/ul>\n\n\n\n<h3 id=\"h-examiner-positioning-and-hand-placement\" class=\"wp-block-heading\">Examiner positioning and hand placement<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Stand beside the table at the patient&#8217;s shoulder level, facing the patient.<\/li>\n\n\n\n<li>Place one hand on the posterior aspect of the humeral head, applying gentle anterior-directed pressure.<\/li>\n\n\n\n<li>Grasp the patient&#8217;s upper arm with your other hand, above the elbow, to control arm movement.<\/li>\n<\/ul>\n\n\n\n<h3 id=\"h-the-maneuver-abduction-anterior-force-and-rotation\" class=\"wp-block-heading\">The maneuver: Abduction, anterior force, and rotation<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Fully abduct the shoulder overhead, varying the angle through the range to assess different segments of the labrum.<\/li>\n\n\n\n<li>Externally rotate the humerus while maintaining anterior pressure on the posterior humeral head.<\/li>\n\n\n\n<li>Perform slow, controlled rotation, avoiding rapid jerking movements that may startle the patient.<\/li>\n\n\n\n<li>Listen and feel for a clunking, clicking, or grinding sound or sensation as the labral tear, if present, shifts during rotation.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">The entire maneuver should take 5-10 seconds. A skilled examiner performs the test smoothly while maintaining constant communication with the patient about discomfort or unusual sensations.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pabau.com\/features\/capture-forms-software\/\">Clinical form capture tools<\/a> let staff complete assessments like this on a tablet during the session itself.<\/p>\n\n\n\n<h2 id=\"h-interpreting-a-positive-clunk-test\" class=\"wp-block-heading\">Interpreting a positive clunk test<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">A positive clunk test is indicated by a distinct clunking, grinding, or clicking sensation felt or heard during the maneuver. This sound typically suggests a mechanical disruption. A torn labral edge may be shifting within the joint space as the humerus rotates.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>True Positive:<\/strong> A clearly audible or palpable clunk accompanied by pain or apprehension suggests labral pathology.<\/li>\n\n\n\n<li><strong>Equivocal Finding:<\/strong> Subtle clicking without clear mechanical catching may represent labral fraying or early pathology. Follow up with other tests and imaging if clinically indicated.<\/li>\n\n\n\n<li><strong>Negative Test:<\/strong> Smooth rotation with no unusual sound or sensation suggests intact labrum, though absence of a clunk does not completely rule out labral pathology.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Always contextualize the clunk test result within the broader clinical picture. A patient with a positive clunk test but no symptoms of instability, catching, or overhead pain may not require immediate imaging. A negative clunk test combined with a positive comprehensive shoulder assessment may still warrant imaging, especially when the patient reports catching.<\/p>\n\n\n\n<h2 id=\"h-assessing-posterior-labral-instability\" class=\"wp-block-heading\">Assessing posterior labral instability<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">No separately named &#8222;posterior clunk test&#8220; exists in the literature. The clunk test itself has only one documented direction of force. The examiner presses anteriorly against the posterior humeral head. Its only variation is the abduction angle. Examiners &#8222;circle the shoulder&#8220; through different degrees of abduction to assess different segments of the labrum. Walsh also described a horizontal-adduction relocation variant.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Posterior labral lesions and posterior instability are instead assessed with two separately named tests: the jerk test and the Kim test.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Jerk test (Matsen, 1990):<\/strong> The patient sits or stands with the shoulder abducted 90 degrees and the elbow flexed 90 degrees. The examiner axially loads the humerus while horizontally adducting the arm across the body. A sudden posterior subluxation, often felt as a jerk or clunk, signals posterior instability.<\/li>\n\n\n\n<li><strong>Kim test (Kim et al., 2005):<\/strong> The patient sits with the arm abducted 90 degrees. The examiner axially loads the humerus while diagonally elevating the arm 45 degrees and applying a posteroinferior force to the proximal humerus. Sudden posterior shoulder pain, with or without a clunk, is a positive result.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/16000664\/\" target=\"_blank\" rel=\"nofollow noopener\">Kim et al. (2005)<\/a> verified findings by arthroscopy in 172 shoulders. They reported the Kim test at 80% sensitivity and 94% specificity, and the jerk test at 73% sensitivity and 98% specificity, for posteroinferior labral lesions. Some sources describe a &#8222;posterior clunk&#8220; as a sign of posterior instability, not a named clunk-test variant. It differs from the anterior clunk test this article covers.<\/p>\n\n\n\n<h2 id=\"h-related-shoulder-special-tests\" class=\"wp-block-heading\">Related shoulder special tests<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The clunk test is one of several special tests available to assess shoulder pathology. Understanding how it compares to related tests helps clinicians build a comprehensive assessment battery and improve diagnostic accuracy.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:14px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:13px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Test<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:13px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Primary Indication<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:13px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Patient Position<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:13px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Positive Sign<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Clunk Test<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Anterior\/superior labral tears, SLAP<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Supine, shoulder fully abducted overhead<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Clunking or grinding sensation with external rotation<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">O&#8217;Brien Test<\/td>\n<td style=\"padding:12px 16px;color:#374151\">SLAP lesions, AC joint pathology<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Seated, arm forward-flexed 90\u00b0, internally rotated<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Pain with arm supinated; relief when pronated<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Crank Test<\/td>\n<td style=\"padding:12px 16px;color:#374151\">SLAP lesions, superior labral pathology<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Seated or standing, arm elevated 160\u00b0 in scapular plane<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Grinding, clicking, or reproduction of pain<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Apprehension Test<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Anterior shoulder instability<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Supine, shoulder abducted 90\u00b0, externally rotated<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Apprehension or fear of dislocation<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<h3 id=\"h-o-brien-test\" class=\"wp-block-heading\">O&#8217;Brien test<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">The O&#8217;Brien test, also called the active compression test, is performed with the patient seated. The arm is forward-flexed 90 degrees and internally rotated, with the thumb pointing downward. A positive result is pain with the arm supinated that improves when pronated, suggesting SLAP involvement. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Reported sensitivity for the O&#8217;Brien test varies by population and study. It can also reproduce AC joint pain, making it less specific for labral pathology alone.<\/p>\n\n\n\n<h3 id=\"h-crank-test\" class=\"wp-block-heading\">Crank test<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">The crank test involves positioning the arm at 160 degrees of elevation in the scapular plane, seated or standing, then externally rotating the humerus. Grinding, clicking, or pain reproduction during this movement suggests SLAP involvement. Reported sensitivity for the crank test also varies by population and study. It complements the clunk test in a comprehensive shoulder assessment.<\/p>\n\n\n\n<h2 id=\"h-sensitivity-specificity-and-diagnostic-accuracy\" class=\"wp-block-heading\">Sensitivity, specificity, and diagnostic accuracy<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Evidence for the clunk test&#8217;s diagnostic accuracy is limited. Well-validated sensitivity and specificity data specific to the clunk test are not currently available in the peer-reviewed literature. Clinicians should treat it as one part of a broader clinical picture, not a standalone diagnostic figure.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The clunk test itself has not been the subject of a published diagnostic-accuracy study. Related maneuvers used in the same throwing-athlete population have been studied. This gives useful context, even though the numbers below do not describe the clunk test.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:14px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:13px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Special Test<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:13px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Sensitivity<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:13px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Specificity<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:13px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Accuracy<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;color:#374151\">Forced abduction test<\/td>\n<td style=\"padding:12px 16px;color:#374151\">67%<\/td>\n<td style=\"padding:12px 16px;color:#374151\">67%<\/td>\n<td style=\"padding:12px 16px;color:#374151\">67%<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;color:#374151\">Crank test<\/td>\n<td style=\"padding:12px 16px;color:#374151\">58%<\/td>\n<td style=\"padding:12px 16px;color:#374151\">72%<\/td>\n<td style=\"padding:12px 16px;color:#374151\">66%<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;color:#374151\">O&#8217;Brien&#8217;s test<\/td>\n<td style=\"padding:12px 16px;color:#374151\">54%<\/td>\n<td style=\"padding:12px 16px;color:#374151\">60%<\/td>\n<td style=\"padding:12px 16px;color:#374151\">57%<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">These figures come from <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/16325078\/\" target=\"_blank\" rel=\"nofollow noopener\">Nakagawa et al. (2005)<\/a>, published in Arthroscopy (21:1290-1295). The study evaluated the forced shoulder abduction and elbow flexion test against arthroscopy in 54 competitive throwing athletes. It also reported accuracy for the crank test and O&#8217;Brien&#8217;s test. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">That study did not evaluate the clunk test, and no comparable diagnostic-accuracy study of the clunk test has been published. Pair the clunk test with the O&#8217;Brien test and the crank test rather than relying on it alone.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Related templates<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/pabau.com\/templates\/brief-symptom-inventory\/\">Brief Symptom Inventory<\/a><\/li>\n\n\n<li><a href=\"https:\/\/pabau.com\/templates\/coaching-evaluation-form\/\">Coaching evaluation form<\/a><\/li>\n\n\n<li><a href=\"https:\/\/pabau.com\/templates\/cold-stimulation-test-template\/\">Cold stimulation test template<\/a><\/li>\n\n\n<li><a href=\"https:\/\/pabau.com\/templates\/coma-recovery-scale-worksheet\/\">Coma Recovery Scale Worksheet<\/a><\/li>\n<\/ul>\n\n\n\n<h2 id=\"h-how-pabau-supports-shoulder-assessment-documentation\" class=\"wp-block-heading\">How Pabau supports shoulder assessment documentation<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Documenting special test findings accurately and consistently across your practice supports continuity of care and informed clinical decisions. Paper-based assessment forms are error-prone and hard to track over time. Practice management software like Pabau replaces them with digital intake forms and custom assessment templates. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">These let you record clunk test results, patient positioning, and examiner observations in one place. Clinical interpretation stays attached to that same unified patient record.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/downloadable_template_article\/clunk-test\/customizable-consent-and-intake-forms.webp\" alt=\"Customizable consent and intake forms\"\/><figcaption class=\"wp-element-caption\"><em>Pabau&#8217;s customizable intake forms let you build a clunk test assessment page that captures positioning, findings, and interpretation before you open the chart.<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:35px;width:800px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">The clunk test template above integrates with Pabau&#8217;s client record system. You can store and retrieve structured assessment data alongside treatment plans and imaging reports.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/downloadable_template_article\/clunk-test\/creating-treatment-notes-with-echo-ai.webp\" alt=\"Creating treatment notes with Pabau Scribe\"\/><figcaption class=\"wp-element-caption\"><em>Pabau Scribe turns a recorded summary into a structured treatment note, so clunk test findings stay consistent across every visit.<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:35px;width:800px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n        <div id=\"pro_tip\">\n            <div class=\"img\">\n                <svg width=\"42\" height=\"42\" viewBox=\"0 0 42 42\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M12.6383 19.5238C12.6632 21.2071 12.8734 22.9926 12.0685 24.5523C11.0341 26.8917 8.45076 28.169 7.56292 30.5918C6.63082 33.1061 7.19505 36.185 9.31371 37.9786C10.929 39.5678 13.4183 39.9873 15.6061 39.5463C17.4592 39.073 19.1049 37.8388 19.9706 36.1608C20.781 34.7141 20.7866 32.9904 20.5293 31.3985C20.1006 29.3092 18.3775 27.8705 16.9807 26.362C14.8814 24.1005 14.6684 20.6854 15.595 17.8915C16.4331 15.4768 19.0026 14.2344 20.0425 11.9461C20.7202 10.6769 20.7506 9.20327 20.6068 7.81304C20.1864 5.40098 18.3139 3.23631 15.8716 2.56674C13.9742 2.03969 11.8224 2.30052 10.1739 3.37614C8.70522 4.34688 7.5878 5.86618 7.28356 7.58178C6.76081 9.82981 7.53525 12.2822 9.20307 13.9118C10.7658 15.4741 12.4806 17.2273 12.6383 19.5238Z\"\n                        fill=\"#2BADD4\" \/>\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M22.7048 19.8387C22.6822 22.3279 24.4507 24.6234 26.7493 25.4682C28.0531 25.961 29.4725 25.9183 30.7989 25.5487C32.0575 24.9955 33.301 24.2237 34.0069 23.0092C34.8384 21.5811 35.2982 19.8286 34.7832 18.2094C34.3611 16.2507 32.8739 14.6541 31.0275 13.9426C28.6736 12.9595 25.8073 13.7942 24.1719 15.7001C23.2022 16.8366 22.6143 18.3326 22.7048 19.8387Z\"\n                        fill=\"#2BADD4\" \/>\n                <\/svg>\n            <\/div>\n            <div class=\"text\">\n                <h3>Pro Tip<\/h3>\n                <p>Audit your clunk test technique quarterly by recording a practice session and reviewing it with a colleague. Look for smooth, controlled movements, consistent palpation of the posterior humeral head, and subtle sounds that novice examiners often miss. This deliberate practice sharpens your diagnostic accuracy and confidence.<\/p>\n            <\/div>\n        <\/div>\n    \n\n\n<p class=\"wp-block-paragraph\">Streamline how your practice documents shoulder assessments and tracks patient outcomes with integrated clinical documentation software. Automating assessment templates and centralizing patient records cuts down on paperwork and keeps every provider&#8217;s notes consistent.<\/p>\n\n\n        <div id=\"book_a_demo\">\n            <div class=\"left-side\">\n                <div class=\"logo\">\n                    <img decoding=\"async\"\n                        src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/01\/Logo.svg\"\n                        alt=\"Logo\"\n                        loading=\"lazy\"\n                    \/>\n                <\/div>\n\n                <h3 class=\"heading\">\n                    Simplify Clinical Documentation                <\/h3>\n\n                <p class=\"description\">\n                    See how Pabau&#8217;s digital forms and AI-assisted clinical notes help you document special tests like the clunk test faster. Track patient progress accurately and reduce administrative overhead.                <\/p>\n\n                <div class=\"button-group\">\n                    <a href=\"\/book-demo\/\" class=\"btn btn-scale-effect btn-cta-color btn-md\">\n                        <span class=\"btn-text\">Book a demo<\/span>\n                        <div class=\"btn-icon btn-icon-right\" aria-hidden=\"true\">\n                            <svg\n                                width=\"14\"\n                                height=\"12\"\n                                viewBox=\"0 0 14 12\"\n                                fill=\"none\"\n                                xmlns=\"http:\/\/www.w3.org\/2000\/svg\"\n                            >\n                                <path\n                                    d=\"M0.75 4.77295C0.335786 4.77295 0 5.10874 0 5.52295C0 5.93716 0.335786 6.27295 0.75 6.27295V5.52295V4.77295ZM13.2803 6.05328C13.5732 5.76039 13.5732 5.28551 13.2803 4.99262L8.50736 0.219648C8.21447 -0.073245 7.73959 -0.073245 7.4467 0.219648C7.15381 0.512542 7.15381 0.987415 7.4467 1.28031L11.6893 5.52295L7.4467 9.76559C7.15381 10.0585 7.15381 10.5334 7.4467 10.8263C7.73959 11.1191 8.21447 11.1191 8.50736 10.8263L13.2803 6.05328ZM0.75 5.52295V6.27295L12.75 6.27295V5.52295V4.77295L0.75 4.77295V5.52295Z\"\n                                    fill=\"currentColor\"\n                                ><\/path>\n                            <\/svg>\n                        <\/div>\n                    <\/a>\n                <\/div>\n            <\/div>\n\n            <div class=\"right-side\">\n                <img decoding=\"async\"\n                    src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/01\/Home-Page-Concept-4.webp\"\n                    alt=\"Pabau practice management dashboard\"\n                    loading=\"lazy\"\n                \/>\n            <\/div>\n        <\/div>\n        \n\n        <div id=\"pro_tip\">\n            <div class=\"img\">\n                <svg width=\"42\" height=\"42\" viewBox=\"0 0 42 42\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M12.6383 19.5238C12.6632 21.2071 12.8734 22.9926 12.0685 24.5523C11.0341 26.8917 8.45076 28.169 7.56292 30.5918C6.63082 33.1061 7.19505 36.185 9.31371 37.9786C10.929 39.5678 13.4183 39.9873 15.6061 39.5463C17.4592 39.073 19.1049 37.8388 19.9706 36.1608C20.781 34.7141 20.7866 32.9904 20.5293 31.3985C20.1006 29.3092 18.3775 27.8705 16.9807 26.362C14.8814 24.1005 14.6684 20.6854 15.595 17.8915C16.4331 15.4768 19.0026 14.2344 20.0425 11.9461C20.7202 10.6769 20.7506 9.20327 20.6068 7.81304C20.1864 5.40098 18.3139 3.23631 15.8716 2.56674C13.9742 2.03969 11.8224 2.30052 10.1739 3.37614C8.70522 4.34688 7.5878 5.86618 7.28356 7.58178C6.76081 9.82981 7.53525 12.2822 9.20307 13.9118C10.7658 15.4741 12.4806 17.2273 12.6383 19.5238Z\"\n                        fill=\"#2BADD4\" \/>\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M22.7048 19.8387C22.6822 22.3279 24.4507 24.6234 26.7493 25.4682C28.0531 25.961 29.4725 25.9183 30.7989 25.5487C32.0575 24.9955 33.301 24.2237 34.0069 23.0092C34.8384 21.5811 35.2982 19.8286 34.7832 18.2094C34.3611 16.2507 32.8739 14.6541 31.0275 13.9426C28.6736 12.9595 25.8073 13.7942 24.1719 15.7001C23.2022 16.8366 22.6143 18.3326 22.7048 19.8387Z\"\n                        fill=\"#2BADD4\" \/>\n                <\/svg>\n            <\/div>\n            <div class=\"text\">\n                <h3>Pro Tip<\/h3>\n                <p>Use the clunk test alongside the O&#8217;Brien test and crank test to improve diagnostic accuracy. A patient with a positive clunk test and a positive crank test, but a negative O&#8217;Brien test, is more likely to have true SLAP involvement. This multi-test pattern is more reliable than any single test alone.<\/p>\n            <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-conclusion\" class=\"wp-block-heading\">Conclusion<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The clunk test remains a practical, equipment-free screening tool for detecting glenoid labral pathology in the clinical setting. When performed correctly and interpreted within context, it provides valuable information to guide imaging decisions and treatment planning. However, remember that sensitivity varies across populations. Never rule out labral involvement based on a negative clunk test alone.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Documenting your clunk test findings systematically keeps trends visible to you and your team over time. Structured digital assessment templates in your practice management system support evidence-based practice and improve patient handoff communication. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Download the free clunk test template above to standardize how your practice records shoulder assessment findings. <a href=\"https:\/\/pabau.com\/book-demo\/\">Book a demo<\/a> to see how Pabau streamlines clinical documentation for teams like yours.<\/p>\n\n\n        <div id=\"expert_picks\">\n            <div class=\"header\">\n                                    <img decoding=\"async\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2025\/11\/Expert-Picks.svg\" alt=\"Continue your research\" height=\"42\" width=\"42\">\n                                <h3>Continue your research<\/h3>\n            <\/div>\n            <div class=\"content\">\n                                                            <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Want to build out your shoulder exam beyond special tests?<\/strong> <a href=\"https:\/\/pabau.com\/blog\/range-of-motion-assessment\/\">Range of motion assessment<\/a> walks through the goniometry and scoring clinicians use alongside the clunk test.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Looking for another special-test walkthrough?<\/strong> <a href=\"https:\/\/pabau.com\/blog\/hypoglossal-nerve-test\/\">Hypoglossal nerve test<\/a> covers the same step-by-step procedure and interpretation format for cranial nerve XII.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Need another downloadable clinical assessment template?<\/strong> <a href=\"https:\/\/pabau.com\/templates\/falls-efficacy-scale\/\">Falls efficacy scale<\/a> is a free, ready-to-use tool for scoring fear of falling in older patients.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-frequently-asked-questions\" class=\"wp-block-heading\">Frequently asked questions<\/h2>\n\n\n\n<div class=\"schema-faq wp-block-yoast-faq-block\"><div class=\"schema-faq-section\" id=\"faq-question-1785234335503\"><h3 class=\"schema-faq-question\">What is the clunk test used for?<\/h3> <p class=\"schema-faq-answer\">The clunk test detects glenoid labral tears and SLAP lesions during shoulder examination. A positive test-a clunking sensation during the maneuver-suggests mechanical labral disruption and usually prompts imaging (MRI) or specialist referral for confirmation.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1785234335504\"><h3 class=\"schema-faq-question\">Can a negative clunk test rule out a labral tear?<\/h3> <p class=\"schema-faq-answer\">No. Well-validated diagnostic-accuracy data specific to the clunk test are not currently available, so a negative result cannot reliably exclude labral pathology on its own. Always interpret the test alongside patient history, mechanism of injury, other special tests, and imaging findings.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1785234335505\"><h3 class=\"schema-faq-question\">How accurate is the clunk test compared to the crank test?<\/h3> <p class=\"schema-faq-answer\">Both tests target SLAP lesions but use different positions. Nakagawa et al. (2005) reported the crank test at 58% sensitivity and 72% specificity in throwing athletes. That study did not evaluate the clunk test, and no comparable diagnostic-accuracy figures exist for it. Clinicians typically perform both tests together rather than rely on either alone.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1785234335506\"><h3 class=\"schema-faq-question\">What patient population benefits most from the clunk test?<\/h3> <p class=\"schema-faq-answer\">Overhead athletes (baseball, volleyball, swimming, tennis), throwing athletes, and patients with complaints of shoulder catching, instability, or recurrent dislocation are key populations. The test is also useful in general orthopedic practices for routine shoulder screening.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1785234335507\"><h3 class=\"schema-faq-question\">Can tension or patient guarding affect the clunk test result?<\/h3> <p class=\"schema-faq-answer\">Yes. A tense, guarding patient may not relax enough for the test to be valid. Always emphasize relaxation, use reassuring communication, and repeat the test if the patient appears tense on the first attempt. Poor muscle relaxation reduces test sensitivity.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1785234335508\"><h3 class=\"schema-faq-question\">What is the difference between the clunk test and the O&#8217;Brien test?<\/h3> <p class=\"schema-faq-answer\">The clunk test uses supine positioning with abduction and rotation. The O&#8217;Brien test uses seated forward flexion and internal rotation. Reported sensitivity for the O&#8217;Brien test varies by population and study. It can also reproduce AC joint pain, making it less specific for labral pathology alone.<\/p> <\/div> <\/div>\n","protected":false},"excerpt":{"rendered":"<p>Download your free clunk test assessment template A ready-to-use clinical assessment template for documenting patient positioning, examiner observations, positive\/negative findings, and clinical interpretation of the clunk test. Streamlines record-keeping and ensures consistent documentation across your practice team. Download template Shoulder labral tears affect thousands of patients annually, particularly in overhead athletes and individuals with glenohumeral [&hellip;]<\/p>\n","protected":false},"author":81,"featured_media":168417,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_yoast_wpseo_linkdex":"88","_yoast_wpseo_content_score":"60","_yoast_wpseo_is_cornerstone":"","_yoast_wpseo_keywordsynonyms":"[\"\",\"\",\"\",\"\",\"\",\"\"]","_yoast_wpseo_focuskw_text_input":"","_seo_original_html":"","footnotes":""},"categories":[38,1126,1127,4138],"tags":[2941,1382],"class_list":["post-168418","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-pabau","category-physical-therapy","category-sports-medicine","category-templates","tag-heated-humidifier","tag-template"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.2 (Yoast SEO v28.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Clunk Test: Procedure, Accuracy &amp; Free Template<\/title>\n<meta name=\"description\" content=\"The clunk test is performed supine, rotating an abducted shoulder to check for labral tears. Includes a free documentation template.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/pabau.com\/de\/templates\/clunk-test\/\" \/>\n<meta property=\"og:locale\" content=\"de_DE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Clunk Test: Procedure, Accuracy &amp; Free Template\" \/>\n<meta property=\"og:description\" content=\"The clunk test is performed supine, rotating an abducted shoulder to check for labral tears. 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The test is also useful in general orthopedic practices for routine shoulder screening.","inLanguage":"de"},"inLanguage":"de"},{"@type":"Question","@id":"https:\/\/pabau.com\/de\/templates\/clunk-test\/#faq-question-1785234335507","position":5,"url":"https:\/\/pabau.com\/de\/templates\/clunk-test\/#faq-question-1785234335507","name":"Can tension or patient guarding affect the clunk test result?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Yes. A tense, guarding patient may not relax enough for the test to be valid. Always emphasize relaxation, use reassuring communication, and repeat the test if the patient appears tense on the first attempt. Poor muscle relaxation reduces test sensitivity.","inLanguage":"de"},"inLanguage":"de"},{"@type":"Question","@id":"https:\/\/pabau.com\/de\/templates\/clunk-test\/#faq-question-1785234335508","position":6,"url":"https:\/\/pabau.com\/de\/templates\/clunk-test\/#faq-question-1785234335508","name":"What is the difference between the clunk test and the O'Brien test?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"The clunk test uses supine positioning with abduction and rotation. The O'Brien test uses seated forward flexion and internal rotation. Reported sensitivity for the O'Brien test varies by population and study. It can also reproduce AC joint pain, making it less specific for labral pathology alone.","inLanguage":"de"},"inLanguage":"de"}]}},"yoast":{"focus_keyword":"clunk test","seo_title":"Clunk Test: Procedure, Accuracy & Free Template","meta_description":"The clunk test is performed supine, rotating an abducted shoulder to check for labral tears. Includes a free documentation template.","content_score":"60","is_cornerstone":"","related_keyphrases":[{"keyword":"shoulder special tests","score":81},{"keyword":"SLAP lesion","score":61},{"keyword":"labral tear detection","score":61},{"keyword":"glenohumeral joint assessment","score":61},{"keyword":"clunk test accuracy","score":61}]},"_links":{"self":[{"href":"https:\/\/pabau.com\/de\/wp-json\/wp\/v2\/posts\/168418","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pabau.com\/de\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pabau.com\/de\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pabau.com\/de\/wp-json\/wp\/v2\/users\/81"}],"replies":[{"embeddable":true,"href":"https:\/\/pabau.com\/de\/wp-json\/wp\/v2\/comments?post=168418"}],"version-history":[{"count":5,"href":"https:\/\/pabau.com\/de\/wp-json\/wp\/v2\/posts\/168418\/revisions"}],"predecessor-version":[{"id":178552,"href":"https:\/\/pabau.com\/de\/wp-json\/wp\/v2\/posts\/168418\/revisions\/178552"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pabau.com\/de\/wp-json\/wp\/v2\/media\/168417"}],"wp:attachment":[{"href":"https:\/\/pabau.com\/de\/wp-json\/wp\/v2\/media?parent=168418"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pabau.com\/de\/wp-json\/wp\/v2\/categories?post=168418"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pabau.com\/de\/wp-json\/wp\/v2\/tags?post=168418"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}