Contribution of clinical tests to the diagnosis of rotator cuff disease: A systematic literature review

Beaudreuil, J.; Nizard, Rémy; Thomas, Thierry; Peyre, M.; Liotard, Jean-Pierre; Boileau, Pascal; Marc, Thierry; Dromard, Catherine; Steyer, Élisabeth; Bardin, Thomas; Orcel, Philippe; Walch, Gilles

doi:10.1016/j.jbspin.2008.04.015

Cited by 115 publications

(76 citation statements)

References 16 publications

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“…4,10,41 Up to date, there is lack of large prospective studies investigating the diagnostic value of clinical tests applicable in patients with painful shoulder. [5][6][7] All tests examined tended to be either highly sensitive or highly specific and very few studies demonstrated both high sensitivity and specificity. 20 As a results, few tests provided convincing evidence of the presence or absence of disease in the setting in which they were applied.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4] Difficulties in clinical diagnosis of shoulder pathology is deduced from the fact that several diagnostic classifications have been proposed, but so far, no consensus of appropriate diagnostic criteria has been found. [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19] Clinical assessment, ultrasonography (US), magnetic resonance imaging (MRI) and arthroscopy are all used for the diagnosis of soft tissue disorders, but their relative accuracy and cost-effectiveness are uncertain. Physical examination includes inspection and palpation, assessment of range of motion and strength, and provocative shoulder testing.…”

mentioning

confidence: 99%

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Clinical Value of Single Versus Composite Provocative Clinical Tests in the Assessment of Painful Shoulder

Salaffi¹,

Ciapetti²,

Carotti³

et al. 2010

JCR: Journal of Clinical Rheumatology

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Clinical Value of Single Versus Composite Provocative Clinical Tests in the Assessment of Painful Shoulder

Salaffi¹,

Ciapetti²,

Carotti³

et al. 2010

JCR: Journal of Clinical Rheumatology

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“…The pros and cons of this indication should be carefully weighed in younger patients, as it is preferable to preserve the biceps. If the clinical exam does not provide enough evidence to implicate the biceps in shoulder pain [7], it seems useful in younger patients with an intact rotator cuff and chronic shoulder pain to preoperatively determine if the biceps is causing the pain.…”

Section: Discussionmentioning

confidence: 99%

Contribution of MRI and CT arthrography to the diagnosis of intra-articular tendinopathy of the long head of the biceps

Nourissat

Tribot-Laspiere

Aïm

et al. 2014

Orthopaedics & Traumatology: Surgery & Research

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“…Conflict between the acromion and the anterior surface of the subscapularis tendon. Posterior superior conflict according to Walch between the posterior edge of the glenoid and the deep surface of the superior cuff [6]: posterior axial scan of the infraspinatus starting from the position of medial abduction-rotation, the hand resting on the opposite shoulder and moving progressively in external abduction-rotation of the shoulder. Lesion of the deep surface of the superior cuff and bone abnormalities of the posterior surface of the glenoid.…”

Section: Tendinous Conflictsmentioning

confidence: 99%

Conflicts, snapping and instability of the tendons. Pictorial essay

Fantino

Borne

Bordet

2012

Journal of Ultrasound

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Conflicts, snapping and instability of the tendons are common, and ultrasound (US) is the method of choice for evidencing these conditions thanks to the possibility to perform dynamic maneuvers during imaging studies. A conflict can occur between a tendon and a bone structure, other tendons, the retinacula or pulleys. Snapping can occur due to instability caused by rupture of the retinaculum, conflict between a thickened retinaculum and a bone prominence or due to an abnormal position of the tendon. Instability can occur due to insufficient ability of the retinaculum to keep the tendons in the bone groove or its failure to hold the tendons applied to the bone. The technique for evidencing conflicts, snapping and instability of the tendons is very demanding because it requires a thorough knowledge of the US appearance and dynamic maneuvers. However, at the present time US examination completed with dynamic maneuvers is the investigation of choice for evidencing these disorders and providing the clinicians with the necessary information.Sommario Conflitti, scatti ed instabilità dei tendini sono frequenti e l'ecografia è, per la possibilità di eseguire manovre dinamiche, la metodica di elezione per obbiettivarli. I conflitti dei tendini possono realizzarsi rispetto a strutture ossee, ad altri tendini, a retinacoli e pulegge. Gli scatti possono avvenire per instabilità da rottura di un retinacolo, per conflitto con un retinacolo ispessito o con una protuberanza ossea, per uno spostamento anomalo rispetto a un altro tendine. L'instabilità può realizzarsi per insufficienza di un retinacolo nel chiudere una doccia ossea, o per insufficienza, sempre di un retinacolo, a stabilizzare i tendini contro un osso. La tecnica per l'evidenziazione di conflitti, scatti ed instabilità dei tendini è molto impegnativa, perché richiede la conoscenza della semiotica e manovre dinamiche, ma l'ecografia, completata con manovre dinamiche è, al momento attuale, l'indagine di scelta per la comprensione di queste patologie e per fornire informazioni ai clinici. ª

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Contribution of clinical tests to the diagnosis of rotator cuff disease: A systematic literature review

Cited by 115 publications

References 16 publications

Clinical Value of Single Versus Composite Provocative Clinical Tests in the Assessment of Painful Shoulder

Clinical Value of Single Versus Composite Provocative Clinical Tests in the Assessment of Painful Shoulder

Contribution of MRI and CT arthrography to the diagnosis of intra-articular tendinopathy of the long head of the biceps

Conflicts, snapping and instability of the tendons. Pictorial essay

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