Gagey Test

Gagey Test

What is the “Gagey Test” used for?

  • This test is designed to test the inferior glenohumeral ligament.

How to perform the “Gagey Test”?

  • The patient is in sitting or standing and the examiner stands behind the patient.Ā 
  • The examiner grasps the patient’s elbow (elbow is at 90°) and passively abducts the arm with one hand while stabilizing the scapula and clavicle with the other hand.Ā 
  • The examiner passively abducts the arm until the scapula and clavicle start to elevate.

What is the positive result?

  • If the glenohumeral joint elevation is greater than 105°, the test is considered positive for laxity in the inferior glenohumeral ligament and a possible inferior labral tear.Ā 
  • It should be noted however that, subjectively, normal passive scapulohumeral rhythm can show up to 120° of abduction at the glenohumeral joint.

References

  1. Orthopedic Physical Assessment by David J. Magee, 7th Edition.
  2. Gagey OJ, Gagey N. The hyperabduction test. J Bone Joint Surg Br. 2001 Jan;83(1):69-74. doi: 10.1302/0301-620x.83b1.10628. PMID: 11245541.Ā Pubmed