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Drop Arm Test Overview

Jul 22, 2025

Overview

This lecture explains how to perform and interpret the drop arm test, which is used to detect significant or full-thickness rotator cuff tears.

Performing the Drop Arm Test

  • Passively lift the patient's arm to 90 degrees of abduction.
  • Ask the patient to keep their arm in this raised position as you let go.

Interpreting the Results

  • A negative drop arm test occurs when the patient can hold their arm steady at 90 degrees abduction.
  • A positive drop arm test is when the patient cannot hold the arm up, showing lag or shoulder shrug.
  • A positive sign suggests a large or full-thickness rotator cuff tear, not just rotator cuff impingement.

Key Terms & Definitions

  • Drop Arm Test — A physical exam maneuver to assess for significant or full-thickness rotator cuff tears.
  • Rotator Cuff Tear — A tear in the group of muscles and tendons stabilizing the shoulder joint.
  • Abduction — Movement of a limb away from the midline of the body.

Action Items / Next Steps

  • Practice performing the drop arm test on peers.
  • Review shoulder anatomy and rotator cuff function for better understanding.