{"id":10677,"date":"2023-07-17T06:00:44","date_gmt":"2023-07-17T05:00:44","guid":{"rendered":"https:\/\/blogs.bmj.com\/bjsm\/?p=10677"},"modified":"2023-07-17T17:45:59","modified_gmt":"2023-07-17T16:45:59","slug":"use-of-the-obriens-active-compression-test-to-evaluate-slap-lesions-and-acromioclavicular-lesions-in-athletes","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bjsm\/2023\/07\/17\/use-of-the-obriens-active-compression-test-to-evaluate-slap-lesions-and-acromioclavicular-lesions-in-athletes\/","title":{"rendered":"Use of The O&#8217;Brien&#8217;s Active Compression Test to Evaluate SLAP Lesions and Acromioclavicular Lesions in Athletes"},"content":{"rendered":"<p><span style=\"font-weight: 400\">Shoulder injuries are common in sport, especially amongst overhead throwing athletes who use their upper arm and shoulder in an arc over head to propel a ball toward the opposing team. Athletes in repetitive overhead sports such as volleyball, baseball, and softball are at high risk of injuring their superior labrum and acromioclavicular (AC) joint (1). Most of the reported shoulder issues are strains with chronic overload leading to an injury (2).<\/span><\/p>\n<p><em><span style=\"font-weight: 400\">This blog provides an overview of how the O\u2019Brien\u2019s test can be utilized by medical doctors in the diagnosis of common shoulder injuries in athletes.\u00a0<\/span><\/em><\/p>\n<h4>Common Shoulder Injuries in Overhead Athletes<\/h4>\n<p><span style=\"font-weight: 400\">Specifically, superior labrum, anterior and posterior (SLAP) lesions occur due to tears of the glenoid labrum fibrocartilage. The labrum provides support and stability to the shoulder along with the rotator cuff tendon and muscles.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Throwing activities can also place stress on the AC joint, a synovial joint that connects the collarbone and shoulder blade with coracoclavicular (CC) ligaments. An injury to the AC joint is commonly known as \u201cshoulder separation\u201d and can be classified into the following types:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Type I = the AC ligament is slightly sprained, but there&#8217;s no damage to the CC ligament.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Type II = the AC ligament is completely torn, and there&#8217;s a sprain or partial tear of the CC ligament.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Type III = both the AC and CC ligaments are completely torn. In this case, the collar bone separates from the end of the shoulder blade.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Type IV, V, VI injuries are the most severe as the clavicle becomes completely displaced.\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400\">Physical exams, such as the O\u2019Brien\u2019s test, can be a key procedure to identify and assess SLAP lesions and AC joint abnormalities.<\/span><\/p>\n<h4>What is the O\u2019Brien\u2019s Test?<span style=\"font-weight: 400\">\u00a0<\/span><\/h4>\n<p><span style=\"font-weight: 400\">The O\u2019Brien\u2019s Test, also known as the Active Compression Test, was developed by Dr. <\/span><a href=\"https:\/\/www.hss.edu\/physicians_obrien-stephen.asp\"><span style=\"font-weight: 400\">Stephen J. O\u2019Brien<\/span><\/a><span style=\"font-weight: 400\">, MD, MBA, an orthopedic surgeon specialized in sports medicine, to evaluate labral tears and AC joint abnormalities (<\/span><a href=\"https:\/\/journals.sagepub.com\/doi\/10.1177\/03635465980260050201\"><span style=\"font-weight: 400\">3<\/span><\/a><span style=\"font-weight: 400\">). To perform the test, the patient is instructed to forward flex their arm to 90 degrees with their elbow in full extension, then adduct their arm 10-15 degrees medial to the sagittal plane of their body with palms pronated. While the patient stands in this position, the medical examiner applies a downward force on their arm and asks them to bring the arms upwards against their resistance. Then, the patient is instructed to repeat the same maneuver, but with their palms supinated. Again, the medical examiner applies a downward force on their arm and asks them to resist.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">If the patient experiences pain during the first manoeuvre, but then experiences little or no pain in the second position, their O\u2019Brien\u2019s test is considered positive (3).<\/span><\/p>\n<h6><span style=\"font-weight: 400\">Figure 1 \u2013\u2013 Illustrations adapted from Tennent et al. (2003) (4).<\/span><\/h6>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-10678\" src=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2023\/07\/Screenshot-2023-07-14-at-15.19.40-300x285.png\" alt=\"\" width=\"544\" height=\"517\" srcset=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2023\/07\/Screenshot-2023-07-14-at-15.19.40-300x285.png 300w, https:\/\/blogs.bmj.com\/bjsm\/files\/2023\/07\/Screenshot-2023-07-14-at-15.19.40-768x729.png 768w, https:\/\/blogs.bmj.com\/bjsm\/files\/2023\/07\/Screenshot-2023-07-14-at-15.19.40-640x608.png 640w, https:\/\/blogs.bmj.com\/bjsm\/files\/2023\/07\/Screenshot-2023-07-14-at-15.19.40.png 986w\" sizes=\"auto, (max-width: 544px) 100vw, 544px\" \/><\/p>\n<h4>Validity of the O\u2019Brien\u2019s Test<\/h4>\n<p><span style=\"font-weight: 400\">Previous studies have examined the diagnostic accuracy of the O\u2019Brien\u2019s test, with specificity values ranging from 28-73% and sensitivity values ranging from 63-94% (5, 6). The literature suggests that no single physical examination maneuver is adequate for accurate diagnosis of SLAP tears and AC joint abnormalities. The O\u2019Brien\u2019s test is often combined with other tests like Speed\u2019s and Yergason\u2019s during an orthopedic examination of the shoulder. However, more studies are needed to understand the accuracy of the test amongst young athletes.<\/span><\/p>\n<h4>Next Steps<\/h4>\n<p><span style=\"font-weight: 400\">If the O\u2019Brien\u2019s test is positive, a physician will likely order an MRI (Magnetic Resonance Imaging) arthrogram to properly identify and diagnose the injury, whether it is a SLAP tear or AC joint abnormality. Once diagnosed, treatment will vary based on the type and extent of the injury.<\/span><\/p>\n<h5>Author information<\/h5>\n<p>Anika Nayak (<span class=\"qu\" role=\"gridcell\"><span class=\"go\">anikanayak@berkeley.edu)<\/span><\/span><\/p>\n<h5>References<\/h5>\n<ol>\n<li><span style=\"font-weight: 400\"> Michener LA, Abrams JS, Bliven KCH, <\/span><i><span style=\"font-weight: 400\">et al.<\/span><\/i><span style=\"font-weight: 400\"> National Athletic Trainers\u2019 Association Position Statement: Evaluation, Management, and Outcomes of and Return-to- Play Criteria for Overhead Athletes With Superior Labral Anterior-Posterior Injuries. <\/span><i><span style=\"font-weight: 400\">Journal of Athletic Training<\/span><\/i><span style=\"font-weight: 400\"> 2018;<\/span><b>53<\/b><span style=\"font-weight: 400\">:209\u201329. doi:<\/span><a href=\"https:\/\/doi.org\/10.4085\/1062-6050-59-16\"><span style=\"font-weight: 400\">https:\/\/doi.org\/10.4085\/1062-6050-59-16<\/span><\/a><\/li>\n<li><span style=\"font-weight: 400\"> Cools AM, Johansson FR, Borms D, <\/span><i><span style=\"font-weight: 400\">et al.<\/span><\/i><span style=\"font-weight: 400\"> Prevention of shoulder injuries in overhead athletes: a science-based approach. <\/span><i><span style=\"font-weight: 400\">Brazilian Journal of Physical Therapy<\/span><\/i><span style=\"font-weight: 400\"> 2015;<\/span><b>19<\/b><span style=\"font-weight: 400\">:331\u20139. doi:https:\/\/doi.org\/10.1590\/bjpt-rbf.2014.0109<\/span><\/li>\n<li><span style=\"font-weight: 400\"> O\u2019Brien SJ, Pagnani MJ, Fealy S, <\/span><i><span style=\"font-weight: 400\">et al.<\/span><\/i><span style=\"font-weight: 400\"> The Active Compression Test: A New and Effective Test for Diagnosing Labral Tears and Acromioclavicular Joint Abnormality. <\/span><i><span style=\"font-weight: 400\">The American Journal of Sports Medicine<\/span><\/i><span style=\"font-weight: 400\"> 1998;<\/span><b>26<\/b><span style=\"font-weight: 400\">:610\u20133. doi:<\/span><a href=\"https:\/\/doi.org\/10.1177\/03635465980260050201\"><span style=\"font-weight: 400\">https:\/\/doi.org\/10.1177\/03635465980260050201<\/span><\/a><\/li>\n<li><span style=\"font-weight: 400\"> Tennent TD, Beach WR, Meyers JF. A Review of the Special Tests Associated with Shoulder Examination: Part II: Laxity, Instability, and Superior Labral Anterior and Posterior (SLAP) Lesions. <\/span><i><span style=\"font-weight: 400\">The American Journal of Sports Medicine<\/span><\/i><span style=\"font-weight: 400\"> 2003;<\/span><b>31<\/b><span style=\"font-weight: 400\">:301\u20137. doi:<\/span><a href=\"https:\/\/doi.org\/10.1177\/03635465030310022601\"><span style=\"font-weight: 400\">https:\/\/doi.org\/10.1177\/03635465030310022601<\/span><\/a><\/li>\n<li><span style=\"font-weight: 400\"> Ebinger N, Magosch P, Lichtenberg S, <\/span><i><span style=\"font-weight: 400\">et al.<\/span><\/i><span style=\"font-weight: 400\"> A New SLAP Test: The Supine Flexion Resistance Test. <\/span><i><span style=\"font-weight: 400\">Arthroscopy: The Journal of Arthroscopic &amp; Related Surgery<\/span><\/i><span style=\"font-weight: 400\"> 2008;<\/span><b>24<\/b><span style=\"font-weight: 400\">:500\u20135. doi:<\/span><a href=\"https:\/\/doi.org\/10.1016\/j.arthro.2007.11.017\"><span style=\"font-weight: 400\">https:\/\/doi.org\/10.1016\/j.arthro.2007.11.017<\/span><\/a><\/li>\n<li><span style=\"font-weight: 400\"> Guanche CA, Jones DC. Clinical testing for tears of the glenoid labrum. <\/span><i><span style=\"font-weight: 400\">Arthroscopy: The Journal of Arthroscopic &amp; Related Surgery<\/span><\/i><span style=\"font-weight: 400\"> 2003;<\/span><b>19<\/b><span style=\"font-weight: 400\">:517\u201323. doi:https:\/\/doi.org\/10.1053\/jars.2003.50104<\/span><\/li>\n<\/ol>\n<p>&nbsp;<!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Shoulder injuries are common in sport, especially amongst overhead throwing athletes who use their upper arm and shoulder in an arc over head to propel a ball toward the opposing team. Athletes in repetitive overhead sports such as volleyball, baseball, and softball are at high risk of injuring their superior labrum and acromioclavicular (AC) joint [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bjsm\/2023\/07\/17\/use-of-the-obriens-active-compression-test-to-evaluate-slap-lesions-and-acromioclavicular-lesions-in-athletes\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":464,"featured_media":10678,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[16194,16068,16193,16192],"class_list":["post-10677","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized","tag-acromioclavicular-joint","tag-featured","tag-labrum","tag-shoulder"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Use of The O&#039;Brien&#039;s Active Compression Test to Evaluate SLAP Lesions and Acromioclavicular Lesions in Athletes - BJSM blog - social media&#039;s leading SEM voice<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bjsm\/2023\/07\/17\/use-of-the-obriens-active-compression-test-to-evaluate-slap-lesions-and-acromioclavicular-lesions-in-athletes\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Use of The O&#039;Brien&#039;s Active Compression Test to Evaluate SLAP Lesions and Acromioclavicular Lesions in Athletes - BJSM blog - social media&#039;s leading SEM voice\" \/>\n<meta property=\"og:description\" content=\"Shoulder injuries are common in sport, especially amongst overhead throwing athletes who use their upper arm and shoulder in an arc over head to propel a ball toward the opposing team. Athletes in repetitive overhead sports such as volleyball, baseball, and softball are at high risk of injuring their superior labrum and acromioclavicular (AC) joint [...]Read More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/bjsm\/2023\/07\/17\/use-of-the-obriens-active-compression-test-to-evaluate-slap-lesions-and-acromioclavicular-lesions-in-athletes\/\" \/>\n<meta property=\"og:site_name\" content=\"BJSM blog - social media&#039;s leading SEM voice\" \/>\n<meta property=\"article:published_time\" content=\"2023-07-17T05:00:44+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-07-17T16:45:59+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2023\/07\/Screenshot-2023-07-14-at-15.19.40.png\" \/>\n\t<meta property=\"og:image:width\" content=\"986\" \/>\n\t<meta property=\"og:image:height\" content=\"936\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"bjsm\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"bjsm\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bjsm\\\/2023\\\/07\\\/17\\\/use-of-the-obriens-active-compression-test-to-evaluate-slap-lesions-and-acromioclavicular-lesions-in-athletes\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bjsm\\\/2023\\\/07\\\/17\\\/use-of-the-obriens-active-compression-test-to-evaluate-slap-lesions-and-acromioclavicular-lesions-in-athletes\\\/\"},\"author\":{\"name\":\"bjsm\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bjsm\\\/#\\\/schema\\\/person\\\/e5c423b95aa02d621ac95e263c08e07f\"},\"headline\":\"Use of The O&#8217;Brien&#8217;s Active Compression Test to Evaluate SLAP Lesions and Acromioclavicular Lesions in Athletes\",\"datePublished\":\"2023-07-17T05:00:44+00:00\",\"dateModified\":\"2023-07-17T16:45:59+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bjsm\\\/2023\\\/07\\\/17\\\/use-of-the-obriens-active-compression-test-to-evaluate-slap-lesions-and-acromioclavicular-lesions-in-athletes\\\/\"},\"wordCount\":829,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bjsm\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bjsm\\\/2023\\\/07\\\/17\\\/use-of-the-obriens-active-compression-test-to-evaluate-slap-lesions-and-acromioclavicular-lesions-in-athletes\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bjsm\\\/files\\\/2023\\\/07\\\/Screenshot-2023-07-14-at-15.19.40.png\",\"keywords\":[\"acromioclavicular joint\",\"featured\",\"labrum\",\"shoulder\"],\"articleSection\":[\"General\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/bjsm\\\/2023\\\/07\\\/17\\\/use-of-the-obriens-active-compression-test-to-evaluate-slap-lesions-and-acromioclavicular-lesions-in-athletes\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bjsm\\\/2023\\\/07\\\/17\\\/use-of-the-obriens-active-compression-test-to-evaluate-slap-lesions-and-acromioclavicular-lesions-in-athletes\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bjsm\\\/2023\\\/07\\\/17\\\/use-of-the-obriens-active-compression-test-to-evaluate-slap-lesions-and-acromioclavicular-lesions-in-athletes\\\/\",\"name\":\"Use of The O'Brien's Active Compression Test to Evaluate SLAP Lesions and Acromioclavicular Lesions in Athletes - BJSM blog - social media&#039;s leading SEM voice\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bjsm\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bjsm\\\/2023\\\/07\\\/17\\\/use-of-the-obriens-active-compression-test-to-evaluate-slap-lesions-and-acromioclavicular-lesions-in-athletes\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bjsm\\\/2023\\\/07\\\/17\\\/use-of-the-obriens-active-compression-test-to-evaluate-slap-lesions-and-acromioclavicular-lesions-in-athletes\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bjsm\\\/files\\\/2023\\\/07\\\/Screenshot-2023-07-14-at-15.19.40.png\",\"datePublished\":\"2023-07-17T05:00:44+00:00\",\"dateModified\":\"2023-07-17T16:45:59+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bjsm\\\/2023\\\/07\\\/17\\\/use-of-the-obriens-active-compression-test-to-evaluate-slap-lesions-and-acromioclavicular-lesions-in-athletes\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/bjsm\\\/2023\\\/07\\\/17\\\/use-of-the-obriens-active-compression-test-to-evaluate-slap-lesions-and-acromioclavicular-lesions-in-athletes\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bjsm\\\/2023\\\/07\\\/17\\\/use-of-the-obriens-active-compression-test-to-evaluate-slap-lesions-and-acromioclavicular-lesions-in-athletes\\\/#primaryimage\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bjsm\\\/files\\\/2023\\\/07\\\/Screenshot-2023-07-14-at-15.19.40.png\",\"contentUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bjsm\\\/files\\\/2023\\\/07\\\/Screenshot-2023-07-14-at-15.19.40.png\",\"width\":986,\"height\":936},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bjsm\\\/2023\\\/07\\\/17\\\/use-of-the-obriens-active-compression-test-to-evaluate-slap-lesions-and-acromioclavicular-lesions-in-athletes\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/blogs.bmj.com\\\/bjsm\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Use of The O&#8217;Brien&#8217;s Active Compression Test to Evaluate SLAP Lesions and Acromioclavicular Lesions in Athletes\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bjsm\\\/#website\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bjsm\\\/\",\"name\":\"BJSM blog - social media&#039;s leading SEM voice\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bjsm\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/blogs.bmj.com\\\/bjsm\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bjsm\\\/#organization\",\"name\":\"BJSM blog - social media&#039;s leading SEM voice\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bjsm\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bjsm\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bjsm\\\/files\\\/2017\\\/11\\\/blog-logo-bjsm.png\",\"contentUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bjsm\\\/files\\\/2017\\\/11\\\/blog-logo-bjsm.png\",\"width\":222,\"height\":34,\"caption\":\"BJSM blog -  social media&#039;s leading SEM voice\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bjsm\\\/#\\\/schema\\\/logo\\\/image\\\/\"}},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bjsm\\\/#\\\/schema\\\/person\\\/e5c423b95aa02d621ac95e263c08e07f\",\"name\":\"bjsm\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/0032367471e5ee33e4efbe4567cbfe76056393a0e5f81bd8d576f8b5a2b90644?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/0032367471e5ee33e4efbe4567cbfe76056393a0e5f81bd8d576f8b5a2b90644?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/0032367471e5ee33e4efbe4567cbfe76056393a0e5f81bd8d576f8b5a2b90644?s=96&d=mm&r=g\",\"caption\":\"bjsm\"},\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bjsm\\\/author\\\/chloewilliamson\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Use of The O'Brien's Active Compression Test to Evaluate SLAP Lesions and Acromioclavicular Lesions in Athletes - BJSM blog - social media&#039;s leading SEM voice","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/blogs.bmj.com\/bjsm\/2023\/07\/17\/use-of-the-obriens-active-compression-test-to-evaluate-slap-lesions-and-acromioclavicular-lesions-in-athletes\/","og_locale":"en_US","og_type":"article","og_title":"Use of The O'Brien's Active Compression Test to Evaluate SLAP Lesions and Acromioclavicular Lesions in Athletes - BJSM blog - social media&#039;s leading SEM voice","og_description":"Shoulder injuries are common in sport, especially amongst overhead throwing athletes who use their upper arm and shoulder in an arc over head to propel a ball toward the opposing team. Athletes in repetitive overhead sports such as volleyball, baseball, and softball are at high risk of injuring their superior labrum and acromioclavicular (AC) joint [...]Read More...","og_url":"https:\/\/blogs.bmj.com\/bjsm\/2023\/07\/17\/use-of-the-obriens-active-compression-test-to-evaluate-slap-lesions-and-acromioclavicular-lesions-in-athletes\/","og_site_name":"BJSM blog - social media&#039;s leading SEM voice","article_published_time":"2023-07-17T05:00:44+00:00","article_modified_time":"2023-07-17T16:45:59+00:00","og_image":[{"width":986,"height":936,"url":"https:\/\/blogs.bmj.com\/bjsm\/files\/2023\/07\/Screenshot-2023-07-14-at-15.19.40.png","type":"image\/png"}],"author":"bjsm","twitter_card":"summary_large_image","twitter_misc":{"Written by":"bjsm","Est. reading time":"4 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/blogs.bmj.com\/bjsm\/2023\/07\/17\/use-of-the-obriens-active-compression-test-to-evaluate-slap-lesions-and-acromioclavicular-lesions-in-athletes\/#article","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/bjsm\/2023\/07\/17\/use-of-the-obriens-active-compression-test-to-evaluate-slap-lesions-and-acromioclavicular-lesions-in-athletes\/"},"author":{"name":"bjsm","@id":"https:\/\/blogs.bmj.com\/bjsm\/#\/schema\/person\/e5c423b95aa02d621ac95e263c08e07f"},"headline":"Use of The O&#8217;Brien&#8217;s Active Compression Test to Evaluate SLAP Lesions and Acromioclavicular Lesions in Athletes","datePublished":"2023-07-17T05:00:44+00:00","dateModified":"2023-07-17T16:45:59+00:00","mainEntityOfPage":{"@id":"https:\/\/blogs.bmj.com\/bjsm\/2023\/07\/17\/use-of-the-obriens-active-compression-test-to-evaluate-slap-lesions-and-acromioclavicular-lesions-in-athletes\/"},"wordCount":829,"commentCount":0,"publisher":{"@id":"https:\/\/blogs.bmj.com\/bjsm\/#organization"},"image":{"@id":"https:\/\/blogs.bmj.com\/bjsm\/2023\/07\/17\/use-of-the-obriens-active-compression-test-to-evaluate-slap-lesions-and-acromioclavicular-lesions-in-athletes\/#primaryimage"},"thumbnailUrl":"https:\/\/blogs.bmj.com\/bjsm\/files\/2023\/07\/Screenshot-2023-07-14-at-15.19.40.png","keywords":["acromioclavicular joint","featured","labrum","shoulder"],"articleSection":["General"],"inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/blogs.bmj.com\/bjsm\/2023\/07\/17\/use-of-the-obriens-active-compression-test-to-evaluate-slap-lesions-and-acromioclavicular-lesions-in-athletes\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/blogs.bmj.com\/bjsm\/2023\/07\/17\/use-of-the-obriens-active-compression-test-to-evaluate-slap-lesions-and-acromioclavicular-lesions-in-athletes\/","url":"https:\/\/blogs.bmj.com\/bjsm\/2023\/07\/17\/use-of-the-obriens-active-compression-test-to-evaluate-slap-lesions-and-acromioclavicular-lesions-in-athletes\/","name":"Use of The O'Brien's Active Compression Test to Evaluate SLAP Lesions and Acromioclavicular Lesions in Athletes - BJSM blog - social media&#039;s leading SEM voice","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/bjsm\/#website"},"primaryImageOfPage":{"@id":"https:\/\/blogs.bmj.com\/bjsm\/2023\/07\/17\/use-of-the-obriens-active-compression-test-to-evaluate-slap-lesions-and-acromioclavicular-lesions-in-athletes\/#primaryimage"},"image":{"@id":"https:\/\/blogs.bmj.com\/bjsm\/2023\/07\/17\/use-of-the-obriens-active-compression-test-to-evaluate-slap-lesions-and-acromioclavicular-lesions-in-athletes\/#primaryimage"},"thumbnailUrl":"https:\/\/blogs.bmj.com\/bjsm\/files\/2023\/07\/Screenshot-2023-07-14-at-15.19.40.png","datePublished":"2023-07-17T05:00:44+00:00","dateModified":"2023-07-17T16:45:59+00:00","breadcrumb":{"@id":"https:\/\/blogs.bmj.com\/bjsm\/2023\/07\/17\/use-of-the-obriens-active-compression-test-to-evaluate-slap-lesions-and-acromioclavicular-lesions-in-athletes\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/blogs.bmj.com\/bjsm\/2023\/07\/17\/use-of-the-obriens-active-compression-test-to-evaluate-slap-lesions-and-acromioclavicular-lesions-in-athletes\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/blogs.bmj.com\/bjsm\/2023\/07\/17\/use-of-the-obriens-active-compression-test-to-evaluate-slap-lesions-and-acromioclavicular-lesions-in-athletes\/#primaryimage","url":"https:\/\/blogs.bmj.com\/bjsm\/files\/2023\/07\/Screenshot-2023-07-14-at-15.19.40.png","contentUrl":"https:\/\/blogs.bmj.com\/bjsm\/files\/2023\/07\/Screenshot-2023-07-14-at-15.19.40.png","width":986,"height":936},{"@type":"BreadcrumbList","@id":"https:\/\/blogs.bmj.com\/bjsm\/2023\/07\/17\/use-of-the-obriens-active-compression-test-to-evaluate-slap-lesions-and-acromioclavicular-lesions-in-athletes\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/blogs.bmj.com\/bjsm\/"},{"@type":"ListItem","position":2,"name":"Use of The O&#8217;Brien&#8217;s Active Compression Test to Evaluate SLAP Lesions and Acromioclavicular Lesions in Athletes"}]},{"@type":"WebSite","@id":"https:\/\/blogs.bmj.com\/bjsm\/#website","url":"https:\/\/blogs.bmj.com\/bjsm\/","name":"BJSM blog - social media&#039;s leading SEM voice","description":"","publisher":{"@id":"https:\/\/blogs.bmj.com\/bjsm\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/blogs.bmj.com\/bjsm\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/blogs.bmj.com\/bjsm\/#organization","name":"BJSM blog - social media&#039;s leading SEM voice","url":"https:\/\/blogs.bmj.com\/bjsm\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/blogs.bmj.com\/bjsm\/#\/schema\/logo\/image\/","url":"https:\/\/blogs.bmj.com\/bjsm\/files\/2017\/11\/blog-logo-bjsm.png","contentUrl":"https:\/\/blogs.bmj.com\/bjsm\/files\/2017\/11\/blog-logo-bjsm.png","width":222,"height":34,"caption":"BJSM blog -  social media&#039;s leading SEM voice"},"image":{"@id":"https:\/\/blogs.bmj.com\/bjsm\/#\/schema\/logo\/image\/"}},{"@type":"Person","@id":"https:\/\/blogs.bmj.com\/bjsm\/#\/schema\/person\/e5c423b95aa02d621ac95e263c08e07f","name":"bjsm","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/secure.gravatar.com\/avatar\/0032367471e5ee33e4efbe4567cbfe76056393a0e5f81bd8d576f8b5a2b90644?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/0032367471e5ee33e4efbe4567cbfe76056393a0e5f81bd8d576f8b5a2b90644?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/0032367471e5ee33e4efbe4567cbfe76056393a0e5f81bd8d576f8b5a2b90644?s=96&d=mm&r=g","caption":"bjsm"},"url":"https:\/\/blogs.bmj.com\/bjsm\/author\/chloewilliamson\/"}]}},"_links":{"self":[{"href":"https:\/\/blogs.bmj.com\/bjsm\/wp-json\/wp\/v2\/posts\/10677","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.bmj.com\/bjsm\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.bmj.com\/bjsm\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/bjsm\/wp-json\/wp\/v2\/users\/464"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/bjsm\/wp-json\/wp\/v2\/comments?post=10677"}],"version-history":[{"count":0,"href":"https:\/\/blogs.bmj.com\/bjsm\/wp-json\/wp\/v2\/posts\/10677\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/bjsm\/wp-json\/wp\/v2\/media\/10678"}],"wp:attachment":[{"href":"https:\/\/blogs.bmj.com\/bjsm\/wp-json\/wp\/v2\/media?parent=10677"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.bmj.com\/bjsm\/wp-json\/wp\/v2\/categories?post=10677"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.bmj.com\/bjsm\/wp-json\/wp\/v2\/tags?post=10677"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}