The diagnostic accuracy of five tests for diagnosing partial-thickness tears of the supraspinatus tendon: A cohort study

Jorge H. Villafañe, Kristin Valdes, Fabio Anselmi, Caterina Pirali, Stefano Negrini

Research output: Contribution to journalArticlepeer-review

Abstract

Study design A cohort study. Introduction The causes of the pain can be difficult for clinicians to diagnose due to the complexity of the shoulder anatomy and the wide spectrum of shoulder conditions. Purpose of the study The aim of this study was to investigate the clinical usefulness of provocative diagnostic tests, in patients with partial-thickness tears of the supraspinatus (SST) tendon. Methods The partial-thickness tears SST tendon group consisted of 50 patients and 50 subjects with shoulder pain. Sensitivity, specificity, positive and negative predictive values, and likelihood ratios of five physical examination tests were calculated using a 2 × 2 table. Results All the tests exhibited clinical useful positive LR greater than 2 (all, >7.0). The Yocum, Jobe, and Hawkinse-Kennedy exhibited clinically useful negative LR of less than 0.5. Conclusions The provocative tests examined were clinically useful in determining the presence or absence of pathology of the supraspinatus tendon. Level of evidence 2b.

Original languageEnglish
Pages (from-to)247-252
Number of pages6
JournalJournal of Hand Therapy
Volume28
Issue number3
DOIs
Publication statusPublished - Jul 1 2015

Keywords

  • Physical examination
  • Shoulder
  • Tendon
  • Validity of results

ASJC Scopus subject areas

  • Rehabilitation
  • Physical Therapy, Sports Therapy and Rehabilitation

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