The Role of Elbow Tender Point Examination in the Diagnosis of Lateral Epicondylitis.
The Role of Elbow Tender Point Examination in the Diagnosis of Lateral Epicondylitis.
复制标题
肘部压痛点检查在诊断肱骨外上髁炎中的作用。
DOI：
10.1097/jom.0000000000001496
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发表时间：
2019
影响因子：
3.2
通讯作者：
Hegmann,KurtT
中科院分区：
文献类型：
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作者：
Yoon,SarangK;Thiese,MatthewS;Ott,Ulrike;Kapellusch,Jay;Merryweather,Andrew;Wood,EricM;Ronna,BrendenB;Foster,James;Drury,DavidL;Hegmann,KurtT
目的：量化压痛点的敏感性和特异性，并证明病例定义的可变性如何影响外上髁炎（LE）的患病率。方法：对来自WISTAH研究的1216名工作人员的基线数据进行分析，这是一项针对上肢肌肉骨骼疾病的多中心前瞻性队列研究。所有工作人员都完成了电脑调查问卷、结构化访谈和两次独立的体检。结果：根据病例定义，LE的患病率从4.7%到12.1%不等。压痛点1 ~ 4的敏感性较低，范围为6.8% ~ 34.6%。1 ~ 4压痛点特异性高，为95.2% ~ 97.9%。结论：根据使用的病例定义，外上髁炎的患病率明显不同，范围超过两倍。病例定义的标准化对于研究间的比较至关重要。
Objective:To quantify sensitivity and specificity of the tender points and demonstrate how variability in case definition impacts prevalence of lateral epicondylitis (LE).Methods:Baseline data analyzed from 1216 workers from the WISTAH study, a multicenter prospective cohort study of upper extremity musculoskeletal disorders. All workers completed computerized questionnaires, structured interviews, and two independent physical examinations in accordance with an established protocol.Results:The prevalence of LE differed based on case definition ranging from 4.7% to 12.1%. Sensitivity was low for tender points 1 to 4 ranging from 6.8% to 34.6%. Specificity was high for tender points 1 to 4 ranging from 95.2% to 97.9%.Conclusions:The prevalence of lateral epicondylitis differs markedly based on case definition used, ranging more than two-fold. Standardization of a case definition is essential to allow for comparisons across studies.