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Apley Scratch Test of External Rotation - Shoulder Examination From the posterior view we can further assess the combined adduction and external rotation with Apley Scratch Test of External Rotation. Have the patient reach overhead and down the spine. Most patients can reach past C7. Video via @open_michigan #Apley #Scratch #Test #External #Rotation #Shoulder #PhysicalExam #clinical #video #sports #msk #orthopedics