SUBSCAPULAR INJURY: PROSPECTIVE COMPARISON OF PHYSICAL EXAMINATION, MRI AND ARTHROSCOPY.

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Tác giả: Flávio Wildon Dantas, José Rodrigo Da Silva Ferreira, Hélio Gonçalves Ribeiro, Rodrigo De Araújo Santa Ritta

Ngôn ngữ: eng

Ký hiệu phân loại: 616.07583 Diseases

Thông tin xuất bản: Brazil : Acta ortopedica brasileira , 2025

Mô tả vật lý:

Bộ sưu tập: NCBI

ID: 120

UNLABELLED: Rotator cuff injury is the most frequent etiology of shoulder pain, with 24% of these injuries involving the subscapular tendon. OBJECTIVE: To correlate the findings of three clinical tests (Gerber test, Belly Press test, and Bear Hug test) with Magnetic Resonance Imaging (MRI) and arthroscopic findings of subscapular lesions. METHODS: Prospective cross-sectional study, from November 2023 to March 2024, with 50 patients with rotator cuff injury, evaluating sensitivity, specificity, and accuracy among clinical tests, MRI, and arthroscopic findings. RESULTS: 50 patients formed the sample, with 29 (58%) men and 21 (42%) women aged 42 to 86 years. We found a specificity of 88% and an accuracy of 54% in MRI. Regarding the Gerber test, the Belly Press test, and the Bear Hug test, the sensitivity was 64%, 64%, and 76%, with specificity of 75% for the Gerber and Belly Press tests and accuracy of 74% for the Bear Hug test. CONCLUSION: We concluded that the Bear Hug test showed higher sensitivity and accuracy in detecting subscapular tendon lesions, with MRI being the most specific method.
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