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

IF 0.5 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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引用次数: 0

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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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.