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

IF 0.6 4区医学 Q4 ORTHOPEDICS Acta Ortopedica Brasileira Pub Date : 2025-02-03 eCollection Date: 2025-01-01 DOI:10.1590/1413-785220253301e285935

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

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Abstract

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. Level of Evidence II; Prospective Study.

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肩胛下损伤：体格检查、mri和关节镜的前瞻性比较。

肩袖损伤是最常见的肩部疼痛原因，其中24%的损伤涉及肩胛下肌腱。目的：探讨三种临床检查（Gerber试验、Belly按压试验和Bear Hug试验）与肩胛下病变的磁共振成像（MRI）和关节镜检查结果的相关性。方法：前瞻性横断面研究，从2023年11月至2024年3月，纳入50例肩袖损伤患者，评估临床检查、MRI和关节镜检查结果的敏感性、特异性和准确性。结果：样本中有50例患者，其中男性29例（58%），女性21例（42%），年龄在42 - 86岁之间。我们发现MRI的特异性为88%，准确性为54%。Gerber试验、Belly Press试验和Bear Hug试验的敏感性分别为64%、64%和76%，特异性分别为75%和准确率分别为74%。结论：我们认为熊抱试验在检测肩胛下肌腱病变方面具有更高的灵敏度和准确性，其中MRI是最特异的方法。证据水平II；前瞻性研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Ortopedica Brasileira Orthopedics-

CiteScore

0.90

自引率

14.30%

发文量

审稿时长

25 weeks

期刊介绍： A Revista Acta Ortopédica Brasileira, órgão oficial do Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo (DOT/FMUSP), é publicada bimestralmente em seis edições ao ano (jan/fev, mar/abr, maio/jun, jul/ago, set/out e nov/dez) com versão em inglês disponível nos principais indexadores nacionais e internacionais e instituições de ensino do Brasil. Sendo hoje reconhecidamente uma importante contribuição para os especialistas da área com sua seriedade e árduo trabalho para as indexações já conquistadas.