What is the Codman’s Test?
The Codman’s test examines passive movement in the shoulder. The codman’s test is also known as the codman’s sign.
The procedure of Performing the Codman’s Test or Codman’s Sign
Position of the examiner – The examiner stands behind the patient.
Position of the patient – The patient will be in a sitting position.
- As the examiner stands behind the patient and puts his or her hands on the patient’s shoulder so that the examiner’s thumb immobilizes the patient’s scapula slightly below the scapular line.
- As the examiner’s index finger rests on the anterior margin of the acromion towards the tip of the coracoid process, and the remaining fingers extend anteriorly past or beyond the acromion.
- Now after that, the examiner, with his other hand, moves the patient’s arm in every direction.
Test Result of Codman’s Test
The examiner who examines the body notes any sign of crepitation in the glenohumeral joint. They also note snapping sensations (such as dislocations of the long head of the biceps tendon) or restricted motion.
The most crucial bony pressure points, like the coracoid process, greater and lesser tubercle of the humerus and acromioclavicular & sternoclavicular joints are evaluated for tenderness to palpation. Joint stability and pain in the rotator cuff’s tendons are also evaluated by palpation.
The range of motion is determined by using the neutral zero method. Both active and passive ranges of motion are determined, as are the area of occurrence and a particular localization of the symptoms.
Restricted movement in all (every) direction indicates the presence of a “frozen shoulder“.
In the early stages of a rotator cuff tear, only active motion is restricted and passive movement remains normal. Advanced impingement syndrome or a chronic tear can show the universally restricted movement of a frozen shoulder.
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Clinical Tests for the Musculoskeletal System: Examinations-Signs-Phenomena by K. Buckup
My self Ritvik Verma and I am a Physiotherapist and the founder of www.physio-study.com. I completed my bachelor’s of physiotherapy from Integral University Lucknow and an internship at KMC Hospital Meerut.
Then I worked in the Physiotherapy Department of Lovee Shubh Hospital (Lucknow) for one year. Then I joined Holistic Touch Physical Therapy & Wellness Clinic and worked there for more than six months.
I am running my clinic and writing blogs on my website, www.physio-study.com, in my hometown, Lakhimpur Kheri.