TY - JOUR
T1 - The diagnostic accuracy of five tests for diagnosing partial-thickness tears of the supraspinatus tendon
T2 - A cohort study
AU - Villafañe, Jorge H.
AU - Valdes, Kristin
AU - Anselmi, Fabio
AU - Pirali, Caterina
AU - Negrini, Stefano
PY - 2015/7/1
Y1 - 2015/7/1
N2 - 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.
AB - 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.
KW - Physical examination
KW - Shoulder
KW - Tendon
KW - Validity of results
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U2 - 10.1016/j.jht.2015.01.011
DO - 10.1016/j.jht.2015.01.011
M3 - Article
C2 - 26003014
AN - SCOPUS:84938746755
VL - 28
SP - 247
EP - 252
JO - Journal of Hand Therapy
JF - Journal of Hand Therapy
SN - 0894-1130
IS - 3
ER -