1 00:00:00,000 --> 00:00:02,540 (English captions by Andrea Matsumoto from the University of Michigan) 2 00:00:03,060 --> 00:00:07,540 To perform O'Brien's Test point the thumb down and flex shoulder to 90 degrees. 3 00:00:07,540 --> 00:00:13,180 Adduct the arm across midline, provide resistance against further shoulder flexion and evaluate 4 00:00:13,180 --> 00:00:14,750 for pain. 5 00:00:14,750 --> 00:00:18,970 Repeat with the thumb pointing up and again evaluate for pain. 6 00:00:18,970 --> 00:00:23,199 If pain was present with the thumb down but relieved with the thumb up, it is considered 7 00:00:23,199 --> 00:00:25,720 a positive test, suspicious for a labral tear.