The contribution of axial arm rotation to translation of the humeral h
ead with the arm in the hanging position was examined using nine fresh
-frozen cadaveric shoulders. Three standard clinical tests were simula
ted: anterior and posterior translation and sulcus tests. In both the
anterior translation and sulcus tests, anterior and inferior displacem
ents were significantly restricted in internal rotation but not in neu
tral and external rotation. In the posterior translation test, no sign
ificant differences in displacement could be observed in internal, neu
tral, or external rotation. Since anterior and inferior translations o
f the humeral head were significantly affected by the rotation of the
arm, we recommend that the anterior translation and sulcus tests be pe
rformed in various rotations.