Hawkins–Kennedy test

The Hawkins–Kennedy Test (Hawkins Test) is a test used in the evaluation of orthopedic shoulder injury. It was first described in the 1980s by Drs. R. Hawkins and J. Kennedy, and a positive test is most likely indicative of damage to the tendon of the supraspinatus muscle.^[1]^[2]

Interpretation

A positive Hawkins test is indicative of an impingement of all structures that are located between the greater tubercle of the humerus and the coracohumeral ligament. The impinged structures include the supraspinatus muscle, teres minor muscle, and the infraspinatus muscle. The Hawkins test is considered to be a highly sensitive test (92.1%)^[3] and thus a negative Hawkins test suggests that injury is unlikely.

Procedure

The patient is examined while sitting with their shoulder flexed to 90° and their elbow flexed to 90°. The examiner grasps and supports proximal to the wrist and elbow to ensure maximal relaxation, the examiner and the patient then quickly rotate the arm internally.^[4]^[5] Pain located below the acromioclavicular joint with internal rotation is considered a positive test result.^[6]^[7]

References

↑ http://physicaltherapyweb.com/hawkins-kennedy-test-orthopedic-shoulder-examination/
↑ http://www.journalofphysiotherapy.com/article/S1836-9553(11)70061-3/pdf
↑ Çalış, Mustafa. "Diagnostic values of clinical diagnostic tests in subacromial impingement syndrome". http://ard.bmj.com/. British Medical Journal. Retrieved 2014-10-13. External link in |website= (help)
↑ http://www.shoulderdoc.co.uk/article.asp?article=746
↑ http://www.fpnotebook.com/ortho/exam/HwknsTst.htm
↑ http://www.usuhs.edu/fap/resources/ue/ShoulderSpecialTests.pptx
↑ http://www.physio-pedia.com/Hawkins_/_Kennedy_Test

Arthropathy	osteoarthritis (Bouchard's nodes/Heberden's node) dermatomyositis (Gottron's papules) DeQuervain's syndrome (Finkelstein's test) anterior shoulder instability (Jobe's test) hip dysplasia Barlow's maneuver Ortolani test

Dorsopathy	low back pain (Waddell's signs) low back flexibility Ott test Schober test sacroiliitis (Larrey's sign)

Trauma/Orthopedics	Knee: ligament (Lachman test) meniscus Apley grind test McMurray test ligament and meniscus O'Donoghue's triad Ankle: tendon Simmonds' test Shoulder: rotator cuff Hawkins–Kennedy test ligament Neer impingement sign Jobe's test Watson's test

Skeletal/bone

bone tumor (Codman triangle)

osteochondritis dissecans (Wilson test)

Teeth

Hutchinson's teeth

Orthopedic examination

General

Lower Limb

Hip examination	Galeazzi test Allis test Barlow maneuver Ober's test Ortolani test Patrick's test Thomas test Trendelenburg's sign

Knee examination	Apley grind test Ballottement Clarke's test Drawer test Lachman test McMurray test Patella tap Pivot-shift test Wilson test Valgus stress test

Foot & Ankle	Hubscher's maneuver Mulder's sign Simmonds' test Thompson test

Upper Limb

Shoulder examination	Apprehension test Jobe's test Gerber's test Hawkins–Kennedy test Neer impingement sign O'Brien's test Speed's test Yergason's test

Elbow examination	Cozen's test Elbow extension test

Wrist & Hand	Durkan's test Finkelstein's test Froment's sign Lunotriquetral shear test Phalen maneuver Tinel sign Watson's test

Spine

Orthopaedic eponyms

Medical eponyms

Fractures	Bankart's fracture Barton's fracture Bennett's fracture Bosworth fracture Chance fracture Chopart's fracture-dislocation Colles' fracture Dupuytren's fracture Duverney fracture Essex-Lopresti fracture Galeazzi fracture Gosselin fracture Holstein–Lewis fracture Holdsworth fracture Hutchinson's fracture Hoffa fracture Hume fracture Jefferson fracture Jones fracture Lisfranc fracture Maisonneuve fracture Malgaigne's fracture Monteggia fracture Moore's fracture Pipkin fracture-dislocation Plafond fracture Pott's fracture Rolando fracture Segond fracture Shepherd's fracture Smith's fracture Stieda fracture Tillaux-Chaput avulsion fracture Wagstaffe-Le Fort avulsion fracture Volkmann avulsion fracture

Classifications	Bado classification Danis–Weber classification Denis classification Evans-Jensen classification Ficat classification Frykman classification Garden classification Gartland classification Gruen zone Gustilo open fracture classification Haruguchi classification Hawkin's classification Herbert classification Herscovici classification Ideberg classification Jupiter and Mehne classification Lauge-Hansen classification Le Fort fracture of skull Loder classification Mayfield classification Milch classification Neer classification Pipkin classification Pauwel's classification Riseborough and Radin classification Ruedi-Allgower classification Salter–Harris fracture Schatzker classification of tibia plateau fractures Tile classification Schatzker classification of olecranon fractures Sanders classification Seddon classification Seinsheimer classification Schenck classification Teisen classification Tscherne classification Thompson and Epstein classification Vancouver classification Wassel classification Winquist and Hansen classification Young-Burgess classification

Procedures	Akin osteotomy Bankart repair Broström procedure Brunelli procedure Cotrel–Dubousset instrumentation Cunningham Shoulder Reduction Darrach's procedure Darrah procedure Evans technique Girdlestone's Procedure Keller procedure Kocher manoeuvre Krukenberg procedure Latarjet procedure Mumford procedure Ponseti method Swanson's Arthroplasty Tommy John surgery Weil's Osteotomy Weaver–Dunn procedure Zadek's procedure

Anatomy	Gerdy's tubercle Guyon's Canal Harrison's groove Haversian canal Humphrey's ligament Lisfranc joint Lisfranc ligament Lister's tubercle Martin-Gruber Anastomosis Schmorl's nodes Volkmann's canals

CPRs	Harris Hip Score Kocher criteria Mirel's Score Rowe Score

Clinical signs	Andersson lesion Baastrup's sign Bouchard's nodes Boutonniere deformity Coopernail's sign Codman triangle Destot's sign Frankel's sign Heberden's node Kanavel's sign Larrey's sign Trendelenburg gait

Clinical examination	Allis test Apley grind test Apley scratch test Barlow's maneuver Clarke's test Cozen's test Cotton test Durkan's test Finkelstein's test Froment's sign Jobe's test Kapandji score Gaenslen's test Galeazzi test Gerber's test Hawkins–Kennedy test Hubscher's maneuver Lachman test Lasègue's sign McMurray test Mulder's sign Neer impingement sign O'Brien's test Ober's test Ortolani test Patrick's test Phalen maneuver Simmonds' test Schober's test Speed's test Thomas test Thompson test Tinel sign Trendelenburg's sign Yergason's test Waddell's signs Watson's test Wilson test

Congenital conditions	Albers-Schonberg disease Albright's hereditary osteodystrophy Antley–Bixler syndrome Apert syndrome Beals syndrome Bechterew's Bruck syndrome Camurati–Engelmann disease Catel–Manzke syndrome Cole carpenter syndrome Conradi–Hünermann syndrome Currarino syndrome Ehlers–Danlos syndrome Eiken syndrome Ellis–van Creveld syndrome Erlenmeyer flask deformity Fairbanks disease Hajdu–Cheney syndrome Jansen's metaphyseal chondrodysplasia Kashin–Beck disease Klippel–Feil syndrome Klippel–Trénaunay–Weber syndrome Kniest dysplasia Lobstein syndrome Madelung's deformity Maffucci syndrome Marfan syndrome Marie-Strümpell disease Marshall syndrome Marshall–Smith syndrome McCune–Albright syndrome Melnick–Needles syndrome Morton's toe Ollier disease Rett syndrome Rubinstein–Taybi syndrome Scheuermann's disease Schwartz–Jampel syndrome Silver–Russell syndrome Teunissen–Cremers syndrome Trevor disease Wiedemann syndrome

Acquired conditions	Baker's cyst Bankart lesion Barré–Liéou syndrome Blount's disease Brodie abscess Chandler's disease De Quervain syndrome Dupuytren's contracture Ewing's sarcoma Freiberg disease Garre's sclerosing osteomyelitis Gorham's disease Haglund's deformity Hill–Sachs lesion Iselin's disease Kashin–Beck disease Kienbock's disease Köhler disease Legg–Calvé–Perthes syndrome Morton's neuroma O'Donoghue's triad Osgood–Schlatter disease Paget's disease of bone Panner disease Perthes Lesion Preiser disease Sever's disease Stener lesion Sudeck's atrophy Tietze syndrome Volkmann's contracture

Orthopedic implants	Austin Moore prosthesis Baksi's prosthesis Charnley prosthesis Denis Browne bar Ender's nail Grosse-Kempf nail Harrington rod Herbert screw Kirschner wire Kuntscher nail Moore's pin Neer's prosthesis Rush nail Schanz screw Seidel nail Smith Peterson nail Steinmann pin Swanson prosthesis Talwalkar nail Thompson prosthesis

Orthopaedic instruments	Bryant's traction Charnley Retractor Darrach elevator Faraboeuf forceps Gigli saw Hohmann retractor Ilizarov apparatus Inge retractor Jungbluth forceps Matta forceps Taylor Spatial Frame Thomas splint Verbrugge forceps Volkmann retractor Weber forceps

Surgical approaches	Hardinge lateral approach to the hip Moore or Southern posterior approach to the hip Smith-Petersen anterior approach to the hip Watson-Jones anterolateral approach to the hip

Radiographic signs	Baumann's angle Blumensaat's line Bohler's angle Cobb angle Fairbank's changes Gilula's Lines Harris lines Hilgenreiner's line Kellgren-Lawrence grading scale Klein's line Loosers zone Pauwel's angle Perkin's line Shenton's Line Southwick angle Thurstan Holland sign Trethowan's sign Terry-Thomas sign

Radiographic projections	Judet view Broden's view

Principles	Wolff's law Hueter-Volkmann law Charley's principles of three-point fixation

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Hawkins–Kennedy test

Interpretation

Procedure

References

See also