DIAGNOSING FULL-THICKNESS TEARS: INTERNAL ROTATION LAG SIGN FOR SUBSCAPULARIS TEARS The Medial Rotation/Internal Rotation Lag Sign is a test in order to assess for weakness or lesion of the subscapularis muscle and tendon. The test is positive, if your patient is complaining about pain provocation and/or if you detect weakness. Miller et al. (2008) evaluated the diagnostic accuracy of this test and found a perfect sensitivity of 100% and good specificity of 84%. This makes this test a perfect te
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