北京大学医学部机构知识库
Advanced  
IR@PKUHSC  > 北京大学第三临床医学院  > 运动医学研究所  > 期刊论文
学科主题: 临床医学
题名:
Internal rotation resistance test at abduction and external rotation: a new clinical test for diagnosing subscapularis lesions
作者: Lin, Lin; Yan, Hui; Xiao, Jian; Ao, Yingfang; Cui, Guoqing
关键词: Internal rotation resistance test ; Subscapularis ; Clinical tests ; Arthroscopy
刊名: KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
发表日期: 2015-04-01
DOI: 10.1007/s00167-013-2808-1
卷: 23, 期:4, 页:1247-1252
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Orthopedics ; Sport Sciences ; Surgery
研究领域[WOS]: Orthopedics ; Sport Sciences ; Surgery
关键词[WOS]: ISOLATED RUPTURE ; TENDON ; SHOULDER ; MUSCLE ; INTEGRITY ; REPAIR ; TEARS ; ARTHROSCOPY ; ACCURACY ; SIGN
英文摘要:

A new clinical test for evaluating subscapularis (SSC) integrity was described, and its diagnostic value was compared with the present SSC tests (the lift-off, belly-press, IRLS and bear-hug tests). The new test is called internal rotation resistance test at abduction and external rotation (IRRT). The test is performed at maximal 90A degrees of abduction and maximal external rotation.

Two hundred and thirty-five consecutive patients suffering from rotator cuff injury were evaluated preoperatively. Six tests were performed to assess the function of the SSC: the lift-off, belly-press, IRLS, the bear-hug, IRRT at 0A degrees abduction and 0A degrees external rotation (IRRT0A degrees) and IRRT at maximal 90A degrees abduction and maximal external rotation (IRRTM). Arthroscopic findings were the reference for diagnosing of SSC lesions.

The IRRTM test showed the greatest sensitivity (76.5 %), and IRLS (31.6 %) test had the lowest sensitivity. The IRRTM had the highest accuracy (79.0 %), and lift-off had the lowest accuracy (65.3 %). Positive IRRTM, bear-hug, belly-press, IRRT0A degrees tests indicate that about one-third of the SSC is torn, and a positive lift-off and IRLS tests predict a severe tear at least two-thirds of the SSC.

The IRRTM represents a sensitive diagnostic test for SSC lesions and improves the chance of finding the upper part of the SSC tears. When the IRRTM is positive, the surgeon should pay particular attention to detecting the SSC tendon during arthroscopy.

Diagnostic study, Level I.

语种: 英语
WOS记录号: WOS:000351611700047
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/56197
Appears in Collections:北京大学第三临床医学院_运动医学研究所_期刊论文

Files in This Item:

There are no files associated with this item.


作者单位: Peking Univ, Hosp 3, Inst Sports Med, Beijing 100191, Peoples R China

Recommended Citation:
Lin, Lin,Yan, Hui,Xiao, Jian,et al. Internal rotation resistance test at abduction and external rotation: a new clinical test for diagnosing subscapularis lesions[J]. KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY,2015,23(4):1247-1252.
Service
Recommend this item
Sava as my favorate item
Show this item's statistics
Export Endnote File
Google Scholar
Similar articles in Google Scholar
[Lin, Lin]'s Articles
[Yan, Hui]'s Articles
[Xiao, Jian]'s Articles
CSDL cross search
Similar articles in CSDL Cross Search
[Lin, Lin]‘s Articles
[Yan, Hui]‘s Articles
[Xiao, Jian]‘s Articles
Related Copyright Policies
Null
Social Bookmarking
Add to CiteULike Add to Connotea Add to Del.icio.us Add to Digg Add to Reddit

Items in IR are protected by copyright, with all rights reserved, unless otherwise indicated.

 

 

Valid XHTML 1.0!
Copyright © 2007-2017  北京大学医学部 - Feedback
Powered by CSpace