Correlação do exame físico com achados artroscópicos no tratamento da ruptura do manguito rotador

França, Flávio de Oliveira; Godinho, Glaydson Gomes; Freitas, José Márcio Alves; Lang, Augusto Silveira; Ammar, Charles Diogo; Martinelli, Fabrício

doi:10.1055/s-0041-1735945

Cited by 3 publications

(2 citation statements)

References 25 publications

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“…In the clinical evaluation of rotator cuff injury, a study made by Oliveira et al reported a sensitivity of 84.9% and a specificity of 45.4%, the PPV of 95% and NPV of 24.3%; on the other hand, our study found a higher sensitivity (97%) and a lower specificity (24%), when correlated against arthroscopy. 17,20 The correlation between MRI reports and arthroscopy in the diagnosis of rotator cuff injury, we found a sensitivity of 96% and specificity of 24%. In a study presented by Abhinav et al they reported a similar sensitivity (98%); yet a much higher specificity (100%).…”

Section: Discussionmentioning

confidence: 69%

Physical examination, magnetic resonance imaging and the arthroscopy of the shoulder: a correlation of diagnostic tests

Canchan,

Camara,

Martinez

et al. 2024

Int J Res Orthop

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Background: Shoulder pathology is the third cause of consultation for musculoskeletal disorders; it is a cause of disability and economic losses. The gold standard for its diagnosis and treatment is arthroscopy. However, arthroscopy is an invasive diagnostic technique. Therefore, clinical and imaging methods may be useful as diagnostic techniques before considering arthroscopy. Nevertheless, these non-surgical diagnostic methods may present a poor correlation in diagnostic accuracy when compared to the arthroscopic diagnostic method in the context of shoulder pathology. Methods: A retrospective study including 123 patients who presented shoulder complains, underwent physical examination and a shoulder magnetic resonance imaging (MRI) study prior to a shoulder arthroscopy. A clinical correlation was made using the kappa index, sensitivity and specificity of the clinical and imaging tests were also calculated. Results: The correlation between arthroscopy and the clinical assessment showed a kappa index of 0.25 for rotator cuff injuries, 0.41 biceps pathology, 0.51 sub acromial impingement, 0.51 acromioclavicular arthrosis, 0.28 for SLAP injury. MRI diagnostic method showed a kappa correlation of 0.24 for rotator cuff injuries, 0.59 biceps pathology, 0.39 sub acromial impingement, 0.46 acromioclavicular arthrosis and 0.34 for superior labral anterior posterior (SLAP) injury. Conclusions: After comparing arthroscopy with clinical assessment and the MRI diagnostic method we found that clinical assessment is useful to diagnose biceps pathologies, subacromial impingement, and acromioclavicular arthrosis. On the other hand, MRI studies and diagnosis made by a radiologist showed to be a valuable tool for the diagnosis of biceps pathology and acromioclavicular arthrosis.

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Section: Discussionmentioning

confidence: 69%

Physical examination, magnetic resonance imaging and the arthroscopy of the shoulder: a correlation of diagnostic tests

Canchan,

Camara,

Martinez

et al. 2024

Int J Res Orthop

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“…Other studies have used surgical findings to determine the accuracy of other special tests compared to the Jobe test for diagnosing supraspinatus tears. Franca et al [26] reported that compared to the Jobe test, the drop arm test was less sensitive but more specific. Similarly, the drop arm test had higher NPV but lower PPV.…”

Section: Discussionmentioning

confidence: 99%

IRO/Shift Test Is Comparable to the Jobe Test for Detection of Supraspinatus Lesions

Fieseler

Schwesig

Sendler

et al. 2022

JPM

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To determine how the internal rotation and shift (IRO/shift) test compares to the gold standard of clinical tests (Jobe test) for diagnosing supraspinatus lesions and to confirm these clinical results with surgical findings, 100 symptomatic patients were clinically examined between October 2018 and November 2019. All 100 patients were evaluated using both the IRO/shift test and Jobe test. A total of 48 of these patients received surgical intervention. Based on these data, sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy for both the IRO/shift test and Jobe test were calculated. The IRO/shift test had a sensitivity of 96% (95% CI: 82–100%), specificity of 50% (95% CI: 27–73%), PPV of 73% (95% CI: 56–86%), NPV of 91% (95% CI: 59–100%), and an accuracy of 77% (95% CI: 63–88%). The Jobe test had a sensitivity of 89% (95% CI: 72–98%), specificity of 60% (95% CI: 36–81%), PPV of 76% (95% CI: 58–89%), NPV of 80% (95% CI: 52–96%), and an accuracy of 77% (95% CI: 54–81%). These results suggest that the IRO/shift test is comparable to the Jobe test, which is often viewed as the gold standard clinical examination for assessing supraspinatus lesions. This study was approved by the Ethics Commission of the Martin Luther University Halle-Wittenberg (reference number: 2018-05).

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Cuff Tear Arthropathy

Razmjou

2022

Clinical and Radiological Examination of the Shoulder Joint

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Correlação do exame físico com achados artroscópicos no tratamento da ruptura do manguito rotador

Cited by 3 publications

References 25 publications

Physical examination, magnetic resonance imaging and the arthroscopy of the shoulder: a correlation of diagnostic tests

Physical examination, magnetic resonance imaging and the arthroscopy of the shoulder: a correlation of diagnostic tests

IRO/Shift Test Is Comparable to the Jobe Test for Detection of Supraspinatus Lesions

Cuff Tear Arthropathy

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