Teste de aluguel Ir para: navegação, pesquisa

Purpose

To test for the presence of rotator cuff tears.

Technique

Patient is seated with examiner standing behind patient. Have patient relax – palpate anterior margin of the acromion through the deltoid – while doing this grasp the patient’s arm with the other hand at the elbow/forearm (patients elbow should be flexed to ~ 90 degrees) and bring into extension. Passively internally and externally rotate patients arm to palpate rotator cuff tendons. Presence of palpable or prominent eminence (Greater tuberosity) and/or rent (defect or ‘sulcus’)^[1] is indicative of full-thickness tear. ^[2][3][4]

^[5]

Evidence

Wolf and Agrawal^[2]report Sensitivity and Specificity of 95.7% (.96^[4]) and 96.8% (.97^[4]) respectively with a positive predictive value of 95.7%, negative predictive value of 96.8% and a diagnostic accuracy of 96.3%. Cleland^[4] calculates a +LR of 32.0 and -LR of .04.  Lyons and Tomlinson^[3] reported Sn of 91% (.91) and Sp of 75% (.75).

References

1. ↑ Dutton M. Orthopaedic Examination, Evaluation, and Intervention. New York: The McGraw-Hill Companies (2nd Ed.) 2008
2. ↑ ^2.02.1 ↑ 3.0^3.1 ↑ 4.0^4.14.24.3 Cleland J. Orthopaedic Clinical Examination: An Evidence-Based Approach for Physical Therapists. Philadelphia; Saunders, Elsevier: 2007
3. ↑ Clinically Relevant Technologies, function gtElInit() { var lib = new google.translate.TranslateService(); lib.setCheckVisibility(false); lib.translatePage('en', 'pt', function (progress, done, error) { if (progress == 100 || done || error) { document.getElementById("gt-dt-spinner").style.display = "none"; } }); }