WEBVTT 00:00:00.000 --> 00:00:02.540 (English captions by Andrea Matsumoto from the University of Michigan) 00:00:03.060 --> 00:00:07.540 To perform O'Brien's Test point the thumb down and flex shoulder to 90 degrees. 00:00:07.540 --> 00:00:13.180 Adduct the arm across midline, provide resistance against further shoulder flexion and evaluate 00:00:13.180 --> 00:00:14.750 for pain. 00:00:14.750 --> 00:00:18.970 Repeat with the thumb pointing up and again evaluate for pain. 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 00:00:23.199 --> 00:00:25.720 a positive test, suspicious for a labral tear.