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• W2063014782 abstract "To assess the diagnostic value of clinical tests for degenerative rotator cuff disease (DRCD) in medical practice. Patients with DRCD were prospectively included. Eleven clinical tests of the rotator cuff have been done. One radiologist performed ultrasonography (US) of the shoulder. Results of US were expressed as normal tendon, tendinopathy or full-thickness tear (the reference). For each clinical test and each US criteria, sensitivity, specificity, negative predictive value and positive predictive value, accuracy, negative likelihood ratio (NLR) and positive likelihood ratio (PLR) were calculated. Clinical relevance was defined as PLR ≥2 and NLR ≤0.5. For 35 patients (39 shoulders), Jobe (PLR: 2.08, NLR: 0.31) and full-can (2, 0.5) test results were relevant for diagnosis of supraspinatus tears and resisted lateral rotation (2.42, 0.5) for infraspinatus tears, with weakness as response criteria. The lift-off test (8.50, 0.27) was relevant for subscapularis tears with lag sign as response criteria. Yergason's test (3.7, 0.41) was relevant for tendinopathy of the long head of the biceps with pain as a response criterion. There was no relevant clinical test for diagnosis of tendinopathy of supraspinatus, infraspinatus or subscapularis. Five of 11 clinical tests were relevant for degenerative rotator cuff disease. Évaluer la valeur diagnostique des tests cliniques pour tendinopathies dégénératives de la coiffe des rotateurs (TDCR) en pratique médicale. Des patients avec TDCR ont été inclus de façon prospective. Onze tests cliniques de la coiffe des rotateurs ont été pratiqués. Un échographiste réalisait les échographies d’épaule en insu. Les résultats échographiques étaient exprimés en tendon normal, tendinopathie et rupture transfixiante. Sensibilité, spécificité, valeurs prédictives positive et négative, exactitude, ratio de vraisemblance (RV) positif et négatif ont été calculés pour chaque test et chaque diagnostic échographique. La valeur diagnostique a été admise à partir d’un RV positif et négatif, ≥ 2 et ≤ 0,5. Trente-cinq patients et 39 épaules ont été inclus. Le test de Jobe (RV positif: 2,08, RV négatif: 0,31) et le full-can test (2, 0,5), avec pour réponse la faiblesse, atteignaient le seuil de valeur diagnostique pour la rupture du supra-épineux, la rotation latérale en position 1 (2,42, 0,5) pour celle de l’intra-épineux et le lift-off test (8,50, 0,27) pour celle du subscapulaire. Le test de Yergason (3,7, 0,41) atteignait ce seuil pour la tendinopathie du long biceps. Aucun test clinique n’atteignait ce seuil pour les tendinopathies des supra-épineux, infra-épineux et subscapulaire. Ce travail montre la valeur diagnostique de 5 des 11 tests cliniques de la coiffe évalués." @default.
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• W2063014782 date "2014-06-01" @default.
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• W2063014782 title "Diagnostic value of clinical tests for degenerative rotator cuff disease in medical practice" @default.
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• W2063014782 doi "https://doi.org/10.1016/j.rehab.2014.04.001" @default.
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