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20150522江苏高绪仁膝肩关节手术团队肩袖损伤Journal Club

已有 1853 次阅读 2015-5-22 19:57 |个人分类:肩关节|系统分类:论文交流| 徐医附院骨科, 徐州二院骨科, 江苏省, 徐州市, 肩关节疼痛

2015年5月22日，江苏高绪仁膝肩关节手术团队肩袖损伤国际临床经验Journal Club成功举办。

本次肩关节Journal Club主要研讨文章：

2015 Apr-Jun;9(2):43-6. doi: 10.4103/0973-6042.154756.

The accuracy of "subacromial grind test" in diagnosis of supraspinatus rotator cuff tears.

Sawalha S1, Fischer J2.

Author information

Abstract

PURPOSE:

The aim of this study is to assess the accuracy of a simple clinical test (subacromial grind test) in diagnosing supraspinatus tendon tears.

PATIENTS AND METHODS:

The test is considered positive if palpable crepitus or grinding is detected on passive internal and external rotation of the shoulder while abducted in the scapular plane. Data were collected prospectively on 47 patients undergoing shoulder arthroscopy, and the results of the test and arthroscopy compared.

RESULTS:

During arthroscopy, 17 patients had full thickness (FT) tears of supraspinatus tendon and 10 had partial thickness tears. For any supraspinatus tear, the sensitivity of the test was 63%, specificity 95%, positive predictive value 94%, negative predictive value 66% and overall accuracy 79%. For FT tears, the sensitivity was 82%, specificity 87%, positive predictive value 78%, negative predictive value 90% and overall accuracy 85%.

CONCLUSION:

We found that this is a useful single test for diagnosing FT supraspinatus tears.

LEVEL OF EVIDENCE:

Level IV diagnostic study.

KEYWORDS:

Grind; physical examination; shoulder; supraspinatus tendon; tear

PMID: 25937713[PubMed] PMCID: PMC4410470 Free PMC Article