四种查体试验对冈上肌腱撕裂诊断的应用价值

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Abstract Objective To investigate the diagnostic value of four different physical examinations for supraspinatus tendon tear.Methods The data of 80 patients who underwent arthroscopic shoulder surgery from October 2017 to October 2018 were retrospectively analyzed.The patients included 33 males and 47 females，aged 32-76 years，with an average age of 52.5 years.There were 49 right shoulders and 31 left shoulders，The patients had course of 3 months to 2 years，with an average of 1.2 years.All patients underwent the following physical examinations before operation：0 degree abduction resistance test，Jobe test，arm drop test and “hold-up resistance” test.The sensitivity，specificity，positive predictive value，negative predictive value，positive likelihood ratio，negative likelihood ratio and accuracy of four kinds of tests for the diagnosis of supraspinatus tendon tear were comprehensively analyzed.Results Arthroscopy confirmed that 36 of 80 patients were diagnosed as supraspinatus tendon tear.For supraspinatus tendon tear，the sensitivity of 0 degree abduction resistance test，Jobe test，arm falling test and "holding resistance" test were 58.3%，72.2%，41.7%，86.1%，specificity were 72.7%，63.6%，88.6%，70.5%，positive predictive values were 63.3%，61.9%，75.0%，70.5%，respectively.The positive likelihood ratios were 2.14，1.98，3.66 and 2.92，and the negative likelihood ratios were 0.57，0.44，0.66 and 0.20，respectively.Conclusion Arm drop test is the most effective method to determine the tear of supraspinatus tendon，and“hold-up resistance” test is the most effective method to detect and eliminate the tear of supraspinatus tendon.It has fixed position，easy operation and high diagnostic value.

Key words： physical examination supraspinatus tendon tear diagnosis application value

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	Articles by authors
	Mu Pan 1
	Huang Suizhu 2
	Zhang Chunqi 2

Cite this article:

Mu Pan 1,Huang Suizhu 2,Zhang Chunqi 2. Value of Four Physical Examinations in Diagnosis of Supraspinatus Tendon Tear[J]. sygkzz, 2019, 25(8): 673-680.

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http://www.sygkzz.com/EN/ OR http://www.sygkzz.com/EN/Y2019/V25/I8/673

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