BOURGETS TEST Meaning and
Definition
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Bourget's test refers to a clinical diagnostic tool that is employed to identify cartilaginous pathology in the shoulder joint. It is named after Dr. Paul Bourget, a French physician who developed this method. It primarily aids in the assessment of glenohumeral instability and is commonly utilized by orthopedic surgeons and physical therapists.
The test involves the examiner positioning the patient's arm in a specific manner to increase the stress on the affected region. Firstly, the patient's arm is abducted and externally rotated, with the elbow flexed at a 90-degree angle. Then, the examiner applies an anteriorly directed force to the patient's forearm, simultaneously applying a posterior directed force to the humeral head.
The objective of Bourget's test is to elicit a subluxation or dislocation of the humeral head from its usual position within the glenoid fossa. By applying the forces in the mentioned directions, the examiner can produce stress on the shoulder joint, which enhances the detection of any instability or abnormal movement.
Bourget's test serves as a valuable diagnostic tool as it can aid in identifying underlying shoulder instability or labral tears that could be responsible for pain, functional limitations, or recurrent shoulder dislocations. It assists healthcare professionals in making accurate diagnoses and formulating appropriate treatment plans, encompassing both surgical and non-surgical approaches, to effectively manage shoulder pathologies.
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