Diagnosis of rotator cuff tears
Rotator cuff tears account for almost 50% of major shoulder injuries but are sometimes difficult to diagnose. To aid diagnosis, we did a prospective study, comparing results of 23 clinical tests from 400 patients with and without rotator cuff tears. Three simple tests were predictive for rotator cuf...
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| Veröffentlicht in: | The Lancet (British edition) 2001-03, Vol.357 (9258), p.769-770 |
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| creator | Murrell, George AC Walton, Judie R |
| description | Rotator cuff tears account for almost 50% of major shoulder injuries but are sometimes difficult to diagnose. To aid diagnosis, we did a prospective study, comparing results of 23 clinical tests from 400 patients with and without rotator cuff tears. Three simple tests were predictive for rotator cuff tear: supraspinatus weakness, weakness in external rotation, and impingement. When all three were positive, or if two tests were positive and the patient was aged 60 or older, the individual had a 98% chance of having a rotator cuff tear; combined absence of these features excluded this diagnosis. |
| doi_str_mv | 10.1016/S0140-6736(00)04161-1 |
| format | Article |
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To aid diagnosis, we did a prospective study, comparing results of 23 clinical tests from 400 patients with and without rotator cuff tears. Three simple tests were predictive for rotator cuff tear: supraspinatus weakness, weakness in external rotation, and impingement. When all three were positive, or if two tests were positive and the patient was aged 60 or older, the individual had a 98% chance of having a rotator cuff tear; combined absence of these features excluded this diagnosis.</description><identifier>ISSN: 0140-6736</identifier><identifier>EISSN: 1474-547X</identifier><identifier>DOI: 10.1016/S0140-6736(00)04161-1</identifier><identifier>PMID: 11253973</identifier><identifier>CODEN: LANCAO</identifier><language>eng</language><publisher>London: Elsevier Ltd</publisher><subject>Adult ; Age ; Aged ; Biological and medical sciences ; Diagnosis ; Hospitals ; Humans ; Impingement ; Injuries ; Injuries of the limb. Injuries of the spine ; Medical diagnosis ; Medical sciences ; Middle Aged ; Pathology ; Patients ; Physical Examination ; Predictive Value of Tests ; Prospective Studies ; Rotator cuff ; Rotator Cuff Injuries ; Sensitivity and Specificity ; Shoulder ; Studies ; Traumas. Diseases due to physical agents ; Wounds and Injuries - diagnosis</subject><ispartof>The Lancet (British edition), 2001-03, Vol.357 (9258), p.769-770</ispartof><rights>2001 Elsevier Ltd</rights><rights>2001 INIST-CNRS</rights><rights>Copyright Lancet Ltd. 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To aid diagnosis, we did a prospective study, comparing results of 23 clinical tests from 400 patients with and without rotator cuff tears. Three simple tests were predictive for rotator cuff tear: supraspinatus weakness, weakness in external rotation, and impingement. When all three were positive, or if two tests were positive and the patient was aged 60 or older, the individual had a 98% chance of having a rotator cuff tear; combined absence of these features excluded this diagnosis.</description><subject>Adult</subject><subject>Age</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Diagnosis</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Impingement</subject><subject>Injuries</subject><subject>Injuries of the limb. Injuries of the spine</subject><subject>Medical diagnosis</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Pathology</subject><subject>Patients</subject><subject>Physical Examination</subject><subject>Predictive Value of Tests</subject><subject>Prospective Studies</subject><subject>Rotator cuff</subject><subject>Rotator Cuff Injuries</subject><subject>Sensitivity and Specificity</subject><subject>Shoulder</subject><subject>Studies</subject><subject>Traumas. 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Injuries of the spine</topic><topic>Medical diagnosis</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Pathology</topic><topic>Patients</topic><topic>Physical Examination</topic><topic>Predictive Value of Tests</topic><topic>Prospective Studies</topic><topic>Rotator cuff</topic><topic>Rotator Cuff Injuries</topic><topic>Sensitivity and Specificity</topic><topic>Shoulder</topic><topic>Studies</topic><topic>Traumas. 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To aid diagnosis, we did a prospective study, comparing results of 23 clinical tests from 400 patients with and without rotator cuff tears. Three simple tests were predictive for rotator cuff tear: supraspinatus weakness, weakness in external rotation, and impingement. When all three were positive, or if two tests were positive and the patient was aged 60 or older, the individual had a 98% chance of having a rotator cuff tear; combined absence of these features excluded this diagnosis.</abstract><cop>London</cop><pub>Elsevier Ltd</pub><pmid>11253973</pmid><doi>10.1016/S0140-6736(00)04161-1</doi><tpages>2</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0140-6736 |
| ispartof | The Lancet (British edition), 2001-03, Vol.357 (9258), p.769-770 |
| issn | 0140-6736 1474-547X |
| language | eng |
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| source | MEDLINE; Business Source Complete; ScienceDirect Journals (5 years ago - present); ProQuest Central UK/Ireland |
| subjects | Adult Age Aged Biological and medical sciences Diagnosis Hospitals Humans Impingement Injuries Injuries of the limb. Injuries of the spine Medical diagnosis Medical sciences Middle Aged Pathology Patients Physical Examination Predictive Value of Tests Prospective Studies Rotator cuff Rotator Cuff Injuries Sensitivity and Specificity Shoulder Studies Traumas. Diseases due to physical agents Wounds and Injuries - diagnosis |
| title | Diagnosis of rotator cuff tears |
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