Written by; Zvonimir Bebic, MD
Fellow in Adult/Pediatric Chronic Pain program
University of Colorado

A 14 year old female presents to the multidisciplinary chronic pain clinic for evaluation of widespread myalgias and symmetrical polyarthralgias that are worst in her bilateral hips, knees, ankles, and wrists. She also suffers from recurrent abdominal pain which has improved since starting oral Cromolyn Sodium. She also takes fluoxetine for anxiety which has been helping. Her mother notes that she has always been flexible and was very active in sports until she injured her knee playing volleyball one year ago and has had significant pain ever since.

During the interview she tells you that she often gets “subluxations and dislocations of both shoulders.” Which of the following physical exam maneuvers would not be useful in diagnosing shoulder instability or subluxation?