Diagnóstico clínico da ruptura do tendão subescapular com a manobra semiológica bear hug
| Autor: | Fabio Garcia de Faria, Yonder Archanjo Ching-San Júnior, César Rubens da Costa Fontenelle, Márcio Schiefer, Sérgio Maurício Silva, José Sergio Franco, Marcos Genúncio Dias Carvalho |
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| Jazyk: | portugalština |
| Rok vydání: | 2012 |
| Předmět: | |
| Zdroj: | Revista Brasileira de Ortopedia v.47 n.5 2012 Revista Brasileira de Ortopedia Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) instacron:SBOT |
| Popis: | OBJECTIVE: To evaluate the Bear Hug maneuver for clinically diagnosing subscapularis tendon tears, and compare this with other maneuvers described previously (Lift-off, Napoleon and Belly Press). METHODS: Forty-nine patients with rotator cuff injuries who had undergone arthroscopy to repair the injury and had previously been assessed using the semiological maneuvers mentioned above were evaluated. RESULTS: The diagnostic values obtained for the Bear Hug test were as follows: sensitivity 75%, specificity 56%, positive predictive value 62%, negative predictive value 70% and accuracy 65%. CONCLUSION: The highest sensitivity and negative predictive value values were obtained with the Bear Hug test. The highest specificity value was seen with the Lift-off test. The Belly press test gave the greatest specificity, positive predictive and accuracy values. |
| Databáze: | OpenAIRE |
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