Palpation tests versus impingement tests in Neer stage I and II subacromial impingement syndrome
| Autor: | Gul Baltaci, Sadık Ahmet Uyanık, Mehmet Alp Karademir, Ahmet Ozgur Atay, Ugur Toprak, Derya Ozer, Evren Üstüner, Secil Sezgin Sakızlıoglu |
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| Rok vydání: | 2012 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.diagnostic_test business.industry Diagnostic accuracy Middle Aged Palpation Tendon Rotator Cuff medicine.anatomical_structure Shoulder Impingement Syndrome Subacromial impingement Orthopedic surgery medicine Humans Female Orthopedics and Sports Medicine Surgery Radiology Ultrasonography business Physical Examination |
| Zdroj: | Knee Surgery, Sports Traumatology, Arthroscopy. 21:424-429 |
| ISSN: | 1433-7347 0942-2056 |
| Popis: | Using sonographic findings to test the diagnostic accuracy of impingement versus tendon palpation tests in Neer stage I and II subacromial impingement syndrome cases and examine their clinical potential.Neer and Hawkins impingement tests and rotator cuff tendon palpation tests followed by bilateral shoulder sonography were conducted on 69 patients with a clinical diagnosis of unilateral subacromial impingement.The Neer and Hawkins tests had 74 and 62 % accuracy (sensitivity 80 and 67 %, and specificity 52 and 47 %, respectively) in comparison to 79 and 62 % accuracy rates for supraspinatus and biceps tendon palpation tests (sensitivity 92 and 41 %, and specificity 41 and 48 %, respectively). Overall, the palpation tests scored better than impingement tests in the diagnosis of Neer stage I and II subacromial impingement syndrome. No tendinosis or tear was noted in patients with negative findings in the supraspinatus palpation tests (sensitivity 100 %, specificity 21 %).Palpation tests for supraspinatus and biceps tendons have a slightly higher accuracy than the impingement tests, and if tenderness does not exist then supraspinatus tendinopathy can be ruled out. These findings warrant the use of palpation tests in a routine physical examination for tendinopathy.I. |
| Databáze: | OpenAIRE |
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