Diagnostic value of physical tests for isolated chronic acromioclavicular lesions
Diagnostic value of physical tests for isolated chronic acromioclavicular lesions
复制标题
DOI：
10.1177/0363546503261723
复制
发表时间：
2004-04-01
影响因子：
4.8
通讯作者：
McFarland, EG
中科院分区：
文献类型：
--
作者：
Chronopoulos, E;Kim, TK;McFarland, EG
目的：慢性肩锁关节病变是肩部疼痛和残疾的常见原因。本研究的目的是评估孤立的，慢性肩锁关节insulines.Study设计：回顾性病例对照研究。方法：1994年和2002年之间，35例患者进行了孤立的肩锁关节病变的锁骨远端切除术的诊断价值。结果：交叉内收应力试验敏感性最高（77%），其次为肩锁关节抗伸试验（72%）和主动加压试验（41%）。主动加压试验的特异性最高（95%）。所有试验的阴性预测值均大于94%，但阳性预测值均小于30%。主动加压试验的总体准确性最高（92%），其次是肩锁关节抵抗伸展试验（84%）和横臂内收应力试验（79%）。测试的组合增加了慢性肩锁关节insulines.Conclusions的诊断价值：这些测试有效用，在评估患者肩锁关节病理病变，这些物理测试的组合是更有帮助的比孤立的测试。
Purpose: Chronic acromioclavicular joint lesions are a common source of pain and disability in the shoulder. The goal of this study was to evaluate diagnostic values of physical tests for isolated, chronic acromioclavicular joint lesions.Study Design: A retrospective case-control study.Methods: Between 1994 and 2002, 35 patients underwent a distal clavicle excision for isolated acromioclavicular joint lesions. The results of 3 commonly used examinations for acromioclavicular joint lesions were calculated for sensitivity, specificity, positive predictive value, negative predictive value, and overall accuracy.Results: The cross body adduction stress test showed the greatest sensitivity (77%), followed by the acromioclavicular resisted extension test (72%) and active compression test (41%). The active compression test had the greatest specificity (95%). All tests had a negative predictive value of greater than 94%, but the positive predictive value was less than 30% for all tests. The active compression test had the highest overall accuracy (92%), followed by the acromioclavicular resisted extension test (84%) and the cross arm adduction stress test (79%). Combinations of the tests increased the diagnostic values for chronic acromioclavicular joint lesions.Conclusions: These tests have utility in evaluating patients with acromioclavicular joint pathologic lesions, and a combination of these physical tests is more helpful than isolated tests.