WEBVTT 00:00:00.000 --> 00:00:02.000 (English captions by Andrea Matsumoto from the University of Michigan) 00:00:03.379 --> 00:00:07.969 Combine adduction and internal rotation with the Apley scratch test of internal rotation. 00:00:07.969 --> 00:00:10.780 Have the patient reach behind the back and up the spine. 00:00:10.780 --> 00:00:14.040 Most patients can reach to T7 or the lower border of the scapula.