Re. Jordan R, Wade RG, McCauley G, Oxley S, Bains R, Bourke G. Functional deficits as a result of brachial plexus injury in anterior shoulder dislocation. J Hand Surg Eur. 2021, 46: 725–30.

this problem should look to move away from inconsistent, qualitative assessments of this phenomenon and look for methods to best quantify their individual patient’s laxity. Wewould ask Drs Teunis and Ring whether they use shear testing as an assessment of the DRUJ? If so, do they know how accurate or reliable their interpretation of that test is? And if they do not, we askwhat tests they do perform to assess a symptomatic DRUJ? As a minimum clinicians should at least look for a way to calibrate their bedside examination techniques to ensure they themselves remain as accurate as possible. We anticipated that experience alone may have offered such calibration, however this was not shown by our study, and confirms that in the absence of a verified reference point any clinical test is likely to be inaccurate.